Category: Psychotherapy

What’s in a Name? Labeling Social Signal Targets

Fast-Forward, Boring Celebration, Spin Cycle, Bulldozer, Pulking…. what on earth do these things have in common?  They are all social signaling target names!

Social signals are focused on as the primary mechanism of change in RO DBT and targeting is the process of identifying the maladaptive social signals that are keeping our clients out of the tribe.  But once we have identified them, then what?  We need to give them a name for the diary card!

A great target name is hard to forget and even silly sometimes, it describes what the social signal looks like and captures the maladaptive features. I mean seriously, who really wants to spend time with a Bulldozer? Some social signal target names are easy like ‘correcting’ or ‘demanding,’ where it’s apparent from the verb what the action is that is taking place.  But other targets can be a bit trickier to define when the signal is a combination of verbal or non-verbal behaviors.

Take Hulkin’ Out for instance, this occurred for a client whenever she was with her romantic interest and they would ask her a personal question. She would immediate begin to tense her upper body, puffing her shoulders out and up towards her ears, and freeze in a wide-eyed look.  She had been given feedback from her partner that this signal looked as if she was uncomfortable and closed to sharing, upon demonstration I concurred.  In mimicking this back to her I stated, “ok, let me try, I want to make sure I get this” and exaggerated this puffed-up and frozen signal back ending with “phew, I feel like I’m really Hulkin’ Out.” She started laughing out loud and said, ‘Yes! It is like the Hulk, all beefy and intense!” And so Hulkin’ Out it became which allowed the client to easily identify both the sensation of tensing up and the off-putting signals that were being portrayed.

Sometimes a target name can be tied to a pop-culture reference.  For instance, with a teenager I might place the label Spillin’ Tea on the diary card; currently translated in Florida, USA adolescent vocabulary as ‘gossip.’ Don’t be afraid to get pop-culture references wrong! It can be fun and great modeling too, have a nice laugh at our foibles in session or class.  Once in adolescent skills class I committed a fatal old-person-sin and referenced the popular streaming app “The NETFLIX.” As soon as it came out of my mouth, I knew it was wrong! We all got a good laugh at that one, I got up and pretended to walk around the room with a cane.

What about other creative strategies for target names?  You can combine the names of two signals such as Pouting + Sulking = Pulking. You can label the irony, for example, a Boring Celebration is not a celebration at all, just a flat face in an exciting situation. You can reference household appliances like being on Spin Cycle is repeating words and phrases again and again.

I’ve been asked by other RO clinicians, “Well what if the name falls flat? Or the client gets offended?” Isn’t that wonderful!  This can be an opportunity for the clinician or client to demonstrate being open and flexibly respond. Maybe it’s an opportunity for a great self-enquiry question. Or maybe you will have an alliance rupture to repair (remember, we don’t shy away from these as the repairs are intimacy enhancing).  Either way the outcome is a win-win.

Through the use of creative and witty names we are smuggling to our clients that we don’t need to take ourselves so seriously. Get your client involved, invite them to find a funny name that they won’t forget; this will also make the target more salient for them to track.  Now be careful, with all this talk of the importance of naming, don’t get caught up in getting it perfect or being rigid about target names! Spending a long time choosing a name may inadvertently reinforce OC tendencies for precision and exactness.  Try a few names out and move on, there will always be time to refine in future sessions.

Now to leave you with just a few more of my favorites!  Fast-Forward, Pleasing Mr. Invisible, Validation Surfing.

VARIEs is the Spice of Life

VARIEs is the Spice of Life

The point of trying something new is to try something new. I frantically repeat this Radically Open DBT principle in my mind while standing with wobbly legs and then falling from my paddle board into the warm waters of the Gulf of Mexico.  This wasn’t even my idea! Embarrassment knocked at the door of my mind as my chin came into firm contact with the board on my way down.  My pride and my chin were sore for several days later. Impress the beach onlookers I had not, yet empress myself I had. I did it! I tried something new! I checked my hesitancy and pre-planning on the beach.  I dove into the ocean with my paddle board just moments after receiving a five-minute tutorial. Even though weather was looking a bit ominous that day and this was my friend’s idea and not mine; I surfed the urge to cancel or avoid with another too familiar excuse. This was going to be the day I left the ‘what ifs’ and ‘who’s watching’ behind and embraced the unknown.  I did it!

Now, let’s not be mistaken, paddle boarding was a total disaster. Me with my bruised chin and my friend almost being swept to sea. Yet as we laid on the sand in infectious laughter at our novel experience, I never felt closer to her.  I was living fully in the present and loving every minute.  I was connecting with a member of my tribe and I could see how, with a little practice, paddle boarding could be something I would actually like to do again.

As a person with over-controlled temperament, there are many moments in life where I have played it safe for fear of the unknown or failure.  Skipping my senior AP exams after a year of preparation. Not trying out for the dance team in college, even with 15 years of jazz and musical theater performance.  My goodness, I refused to try kiwi until I was fourteen because I was convinced it was another disgusting green vegetable. If only I had practiced VARIES then, my experiences in life may have been very different. It makes me wonder, what else have I stopped myself from experiencing while hiding behind the murky lenses of my perceptual bias?

Like many other OC’s I am overly-cautious.  I experience an aversion to uncertainty, a desire to control all the variables and a guarantee of success before trying something new.  And yet, trying something new and behaving differently is the only way to learn.  Much like the Nike slogan ‘Just Do It’, the RO-DBT skill VARIEs provides a roadmap to new experiences.

 

V – Verify one’s willingness to try something new

A – Check the Accuracy of one’s hesitancy, aversion or avoidance

R – Relinquish compulsive planning, rehearsal, or preparation

I – Activate one’s social safety system and Initiate the new behavior

E – Non-judgmentally Evaluate the outcome

(Lynch, 2018, Worksheet 5.A)

 

Many OC individuals want to be excellent the very first time they try something new and, sometimes without this guarantee, won’t try anything at all.  Unfortunately the consequence of this is life can get smaller and monotonous, we may be leaving ourselves out of the tribe.  Taking risks and making mistakes is the only way to learn something new.  That’s right, risks and mistakes are not bad! In fact, we celebrate them. Woo Hoo! The awkwardness and discomfort you may experience along the way are wonderful learning opportunities and signs that you are really growing.

Each time we allow ourselves to let go of compulsive planning and try something new with an open and flexible mind, we are strengthening our ability to fully participate in life.  Using VARIES allows us to break down our overly-cautious habits and inhibitory barriers, to not take ourselves so seriously and join the tribe.  Alexander Pope is well known for his quote, “To err is human” and I agree. We are all human, we are all fallible, we are always learning and when we can share these moments of spontaneity and imperfection with others it is a strong social signal of affiliation and trust.

The most successful people in life learn something new every day and so can you. Daily risks may look like cooking a new meal, going to a new yoga class, asking for a promotion, or sitting next to a new person at lunch.  Consider what would taking a risk and doing something new look like for you? And now do it.  Happy mistake making!!!

To read more about Radically Open DBT and other blogs like this go to www.radicallyopen.net

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