Detached Protectorexercise ED

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Exercise

Chair work with the detached protector


Vignette
Sandra is a 28 year old, unemployed young woman presenting with longstanding Anorexia
Nervosa, chronic pain and depression. Due to significant neglect associated with her mother’s
heroin addiction, Sandra was taken into care from the age of 4. She lived in 3 foster homes over
the course of her childhood. Her foster parents were caring but distant, and all but the final
parent lacked emotional warmth. She is now living alone with her 2 children. She describes
always having to deal with things on her own and being wary of others’ motives and
trustworthiness. In sessions she presents as wary and prefers to chat about current events in
her life rather than discussing her eating and emotional difficulties in depth. Although on the
surface, she says she is motivated to change, homework tasks linked to changing eating
patterns are met with little to no change. Previous attempts to gain weight and eat led to
extreme body discomfort and emotional distress. You have been meeting with her for 5
sessions.

She presents in treatment in a detached matter, often being self critical of herself in subtle
ways. She discusses how she feels ….

“Client Sandra”instructions-
1) Present Sandra in a detached, cut off, “out of touch” with affect way.
2) Think of why she may be acting that way- why cope this way?
3) Discuss a situation related to “being dumped” that ordinarily would be “emotive”. Keep
in mind the idea of a “vulnerable” child mode

“Therapist” instructions

1) Commence by asking client how they feel about what has happened, reflect and
summarise
2) Make a comment related to “being out of touch with feelings”, enquire about if she is
feeling anything when discussing this with you.
3) Introduce the idea of the detached protector mode and

4) Ask permission to do chair work and set up 3 chairs


- A) Therapist B) Detached protector C) Vulnerable child

5) Start dialogue speaking to the empty detached protector chair asking about why it’s
cutting off the feelings

6) Ask client to change chairs and provide the response “from the detached part- the side
that doesn’t want to do feelings”

7) Explain that ‘Little ___’ needs help and has come to therapy to try to heal her emotional
pain…that you need to get in touch with ‘Little ___’ in order to help her. Continue with
dialogue until it reaches its natural conclusion

8) After chair-work: Discuss with client the impact of the Detached protector in their life…
NB- always “speak to the empty chair”

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