SELECTIVE AWARENESS THERAPY [S.A.T. ] is a short-term therapy;  a series of from three to five one-hour sessions at weekly intervals are expected to lead to significant change in a client’s illness pattern.  After identifying and breaking the perpetuating thought/emotion/physical symptom chain, the client is helped to adjust attitudes and self-image   accordingly so that the changes will become permanent. When a  client has a number of unrelated symptoms, it is necessary to  explore the dynamics of  each  symptom in turn, allowing two or three sessions for each disease. An initial S.A.T. session  begins with a short inquiry into the client’s social and medical history and  current complaint. Evidence of a recent medical work-up is essential when treating  physical symptoms outside  of  a medical setting.After discussion of the S.A.T. approach,the client is introduced to the state of selective awareness through a process of deep relaxation. An  eight- to ten-minute tape of the relaxation induction is made during the session and the client is asked to listen to the tape twice a day. Finger signals are established to facilitate communication on a subconscious level and especially to check for the client’s consent at all stages of therapy.

A typical second session begins with a brief relaxation induction  into  a state of selective awareness.Then the client is asked to orient himself  back to the most recent time when he experienced the symptom (for example, stomach pain, insomnia, depression), to describe the  situation,and to reexperience the thoughts and emotions that were       dominant at that time. Examination of a succession of such “symptom-producing events”  leads back to an original  “sensitizing event”    and  reveals a clear pattern of  relationship between the symptom and  a  triggering thought/emotion complex.When the client gains insight into the origin of the symptom  and begins to take responsibility for ill health, then healing and change begin to take place.

A third session would make use of “bio-automation” or creative image rehearsal” to sever the connection between symptom and thought/emotion complex. Bio-automation involves using mental   imagery to gain positive influence over autonomic functions of the body, such as circulation, digestion, and healing. Negative patterns of  behavior and communication can similarly be influenced through  creative image rehearsal, a  process  of  mentally visualizing and rehearsing desired changes in behavior. A tape  is made of  this therapeutic process, which includes positive feedback to  reinforce  the client’s new symptom-free self-image. Positive feedback is important at all stages of therapy to ensure that the client takes credit  for the fact  that he is using his own natural healing potential to create change in  himself. After  the third session, therapist and client review progress  and decide on  the number of additional sessions needed. At the  conclusion of therapy, a single review session is scheduled in four to six weeks to reinforce progress and change.The structure of  S.A.T. is of great importance,but within the basic framework there is great scope for creativity in catering to the needs of each particular client. S.A.T. combines well with other approaches such as Gestalt, Transactional Analysis, and Psychodrama, and it can  also be  used effectively as a tool for self-help.

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