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Topic

Gestalt therapy

Also known as Gestalt psychotherapy

Humanistic therapy of here-and-now awareness and experiments like the empty chair.

At a glance

Also on this page: Key facts · Links · Sources · Related pages

Why it matters

Key facts

Developed by
Fritz Perls, Laura Perls and Paul Goodman, 1940s–1950s1
Started
First described in Gestalt Therapy: Excitement and Growth in the Human Personality (1951)1
Core idea
Awareness of present experience, the relationship, and the person's wider context1
Key technique
Empty chair: speaking to a person, a part of oneself or a feeling as if it sat in a chair1
Paradoxical change
Change comes from "full acceptance of what is, rather than a striving to be different" (Beisser)1
Evidence
Gestalt therapists largely ignored research, with exceptions such as Les Greenberg1

The core idea

  1. Here and now1

    The most useful focus is "the experiential present moment": what is happening as you speak.

  2. Awareness1

    Therapy explores experience by describing it rather than explaining it; awareness itself is the goal.

  3. Contact1

    People lose contact by confluence, introjection, projection, retroflection and deflection; therapy notices these moves.

  4. A real relationship1

    The therapist shows up as an authentic person in dialogue, drawing on Martin Buber's I-Thou.

Examples

  1. Here and now1

    The therapist names what is happening as it happens: "I notice a slight tension at the corners of your mouth when I say that", "I see you shifting on the couch and folding your arms across your chest".

  2. Exaggerate it1

    Noticing something in the client's posture or tone of voice, the therapist may ask them to exaggerate it and pay attention to what that is like.

  3. Body and breath1

    The therapist may draw attention to the client's breathing or posture and how it changes when they talk about different things.

  4. An assertiveness experiment1

    A client who struggles to be assertive might say assertive things to the therapist or the group, or give a talk about how one should never be assertive.

  5. Speak to the parent1

    Rather than talking about a critical parent, the client imagines the parent present, or the therapist as the parent, and talks to them directly.

  6. Rehearsal in the chair1

    Acting out feelings in the empty chair can help a client prepare for something ahead, such as a new job.

  7. Confluence1

    "It's normal for a baby and mother to merge, but not for a therapist and client": if they merge, there is no boundary to meet at and nothing new is learned.

  8. Introjection1

    Rather than "swallow whole" the therapist's interpretations, the client is to "taste" their own experience and either accept or reject it.

Key techniques

  1. Empty chair1

    The client addresses someone imagined in an empty chair, often switching chairs to voice both sides. See Empty chair technique.

  2. Experiments1

    "Safe emergencies", such as speaking directly to an imagined critical parent or exaggerating a gesture to feel what it carries.

What the research says

  1. Little research1

    Gestalt therapists largely ignored research; in the US the approach was largely replaced by cognitive behavioral therapy.

  2. Lives on in EFT1

    Emotion-focused therapy, which is researched, adapts Gestalt two-chair work as its enactment tasks.

  3. Criticism of style1

    Isadore From called some of Perls's brief workshops "hit-and-run" therapy.

Connections

Sources

  1. Gestalt therapy (Wikipedia) (opens en.wikipedia.org)

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