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I mean the "it's not your fault" part at the end of this movie segment. Could anybody explain this method and why it works?

What happens if the psychologist didn't get any reaction (like crying) from the case (Will), doesn't he look like a jerk repeating the same words 9 times?

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3 Answers

up vote 4 down vote accepted

An addition to the other answers:

We must remember that we are watching a movie. Movies are often called "dramatizations", a term that makes very clear what this type of movie does: it creates drama. It was not made to educate the viewers about how a therapy works, but rather to evoke intense emotions in the viewers. We should even assume that this movie does not faithfully depict any actual therapy but rather takes up the ideas that most viewers have of what would be helpful and reflects them back at them, because reinforcing a belief that you already hold will create the strongest emotional echo.

What do most people do in a situation like that in the movie? They tell their friend that "it is not your fault". Most therapists don't do that. Telling a patient how he or she should feel often has adverse effects: the person begins to defend his or her emotions from the devaluing judgment that they perceive the therapist's suggestion to be. What happens is that the belief in their own guilt gets cemented and harder to overcome.

A good therapists helps a patient to arrive at the conclusion by themselves. The most powerful ideas, when it comes to changing yourself, are those insights that you have yourself. A therapist might use questions ("Why do you think ...?") or careful suggestions ("Do you think it is possible that ...?") to direct the thinking of the patient, or the example of himself or a group of other patients with similar experiences (in a group therapy). Another component is psychoeducation, i.e. explaining to the patient that feelings of guilt are common symptoms and why patients experience them.

I cannot view the video, so my examples probably don't fit the situation at hand. Please always provide a short summary.

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+1 I did see the video and i want to validate your comments as accurate. –  caseyr547 Jan 3 at 10:11
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Its a self-esteem technique used to decrease emotional abuse caused by internal turmoil from blaming oneself irrationally. Not all blame is irrational of course but even rational blame can move into an irrational amount and importance. Victims tend to blame themselves for the traumas they endure especially as children. For instance its very common for children whose parents divorce to take the blame for their parents failed relationship. People who are abused emotionally or physically often think it is their fault for setting off an episode of abuse. Some unhealthy religions variants and social groups blame people with mental illnesses or poverty for their situations.

Most changes are small and internal unlike the movie depicts. While an immediate reaction to psychotherapy is gratifying to psychologist most changes don't happen that way. Only people under an extreme burden of blame will respond with such strong emotions when that burden is removed. I've heard that sex offenders typically cry in response to this kind of psychotherapy because they often have been sexual abused themself but I cannot verify that.

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In the scene, it looks like the therapist is confronting a correctly identified repressed belief. As he tries to bring it to the patient's consciousness, the patient's defense mechanisms attempt to keep it repressed. You see him first deny it, then get angry, and then, finally, as the therapist breaks through all the defenses, you see relief and acceptance.

The danger would come if the therapist did not identify the belief correctly and tried to confront it -- that would certainly create an awkward situation. However, in this situation, the therapist is experienced and does not make that mistake.

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