Life themes and plans Implications of biased Beliefs: Elicitation and Treatment (LIBET, Ruggiero & Sassaroli, 2013) We propose an integrated model of case conceptualization of emotional disorders called Life themes and plans Implications of biased Beliefs: Elicitation and Treatment (LIBET, Ruggiero & Sassaroli, 2013) Life themes and plans Implications of biased Beliefs: Elicitation and Treatment (LIBET, Ruggiero & Sassaroli, 2013) The LIBET model aims to merge: the Italian constructivist attention to emotions and clients personal development the rational and directive style of Ellis REBT (Rational Emotive Behavior Therapy) the procedural rigor of empirical research, in order to produce a testable model
Life themes and plans Implications of biased Beliefs: Elicitation and Treatment (LIBET, Ruggiero & Sassaroli, 2013) In the LIBET framework, the emotional disorder is conceptualized as depending on two factors: Painful life themes Rigid and unflexible plans LIBET: Painful life themes Painful life themes are attentional focalizations on negative mental states related to appraisals of events and of relational patterns learnt in significant experiences and relationships evaluated as intolerably painful and grievous (Wells, 2008; Panksepp, 1998) LIBET: Rigid and unflexible plans Rigid and unflexible plans are avoidant, controlling and/or over-compensative strategies even at cost to renounce to significant areas of emotive, cognitive and behavioural growth and personal and relational satisfaction (Williams & Garland, 2002). Rigid plans: from semi-functionality to dysfunctionality These strategies can be partially functional in given periods of life, but can also hinder personal development and may lead to a psychopathological onset depending on a final failure of the rigid plan in which the emotional cost of the renounces becomes too high The themes We use the metaphor of the "nest" in order to express vividly the relational patterns learnt in significant experiences and relationships evaluated as intolerably painful and grievous 4 themes: the destroyed nest Theme of the destroyed nest, in which the individual has experienced a threat to the basic need to be fed and cared for; the threat to this need can lead to panic and paralyzing fear, the so-called freezing (Ogden et al., 2006; Solomon, 2011). 4 themes: the secure nest in a unsecure environment The theme of the secure nest in a unsecure environment in which the individual experienced a warm and welcoming environment, but also conceived the idea that the external environment is dangerous and that it is not convenient to venture into the world. The exploratory system is compromised (Bolwby, 1968). 4 themes: the cold nest Theme of the cold nest, in which the base is safe and the need for exploration is not opposed, but care is provided in an atmosphere of emotional deprivation and emotional distance, where body contacts are rare (Bowlby, 1968). 4 themes: the punitive and criticizing nest The punitive and criticizing nest, where the safe base is present, the need for exploration is not opposed, but there is also a severely criticizing relational style, controlling and oppressive in where the values are lived regulatory and transmitted in a manner oppressive guilt and punishment 3 plans: the prudential plan The prudential plan, in which the subject tries not to think about his painful topic avoiding it through mental and behavioral strategies that prevent him from having to deal with the circumstances and / or thoughts that may be connected in some way with the painful topic. 3 plans: the striving plan The striving plan, in which the subject believes that the issue can be excluded through strict and efficient strategies hypercontrol that prevent the possibility of the most traumatic aspects of the theme painful to come true or at least present themselves at the center of the individual. 3 plans: the self-himmunizing plan The self-himmunizing plan, in which the subject manages the painful issues and trying experiences intense emotional states and overwhelming that ipercompensino contrast to positive states of depression, anxiety and rimuginativi typical of painful issues, almost trying to expel the attentional space. The person seeking an alternative to the extreme negative states associated with painful issues, but in doing so also confirms the inability to handle Assessing LIBET We developed a procedure for assessing LIBET and a booklet that helps the implementation of the procedure The procedure allowed the collection of quantitative data in order to test the validity of LIBET to discriminate clients and controls and to assess pathological variables Validation procedures We administered the LIBET booklet to 10 clients and 9 control We measured the prevalence of each theme and plan We compared the intensity of themes and plans in clients and controls We assessed in each individual one theme and two plans (primary and secondary plan) 57.90% 42.10% Sample Male Female 84.20% 15.80% Marital Status Single Married 5.30% 36.80% 52.60% Scholastic Education Medie Superiori Laurea (BA or MA) 36.80% 5.30% 15.80% 36.80% 5.30% Primary Problem Anxiety Depression Relationship Existential Impulsiveness 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00% 45.00% 50.00% 36.80% 47.40% 15.80% Primary Strategy 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 15.80% 21.10% 26.30% Secondary Strategy 0% 10% 20% 30% 40% 50% 60% 70% Destroyed Nest Secure Nest in Unsecure Environment Cold Nest Punitive and Criticizing Nest 0% 26.30% 63.20% 10.50% Life Theme 0 10 20 30 40 50 60 70 80 90 100 30.5 62.4 55.5 80.33 18.6 57.8 98.2 15.2 13.7 15.3 22.6 28.9 33.33 39.44 2.67 41.78 68.78 11.56 10.67 18.22 Clinical Control 2.66 2.51 2.41 2.29 2.21 1.98 1.89 1.17 0.26 -0.15 -0.34 -0.91 -1.02 -1.35 -4.00 -3.00 -2.00 -1.00 0.00 1.00 2.00 3.00 4.00 t value change alternative Willing to do Avoid suffering automatic goals Faith in change Libero altre cose Worry about Damage with life choice Damage with personal goals Damage with Others Low Control Ought to do Fatigue Linear (change) Linear (change) Linear (change) Higher in Control Higher in Clinical PLANS ITEM SIGNIFICANT DIFFERENCES IN CLINICAL AND CONTROL SAMPLE Preliminary results The intensity of painful themes is higher in clients than in controls The cold nest seems the more frequent in the total sample The more frequent primary plan is the prudential plan in the total sample The more frequent secondary plan is the self-immunizing plan in the total sample We are selecting the more efficient items in showing differences between clients and controls