Giving in to, or appeasing, the voices:

1
Mindfulness being aware of the voices but not
feeling compelled to believe or act any
particular way because of them.
Giving in to, or appeasing, the
voices Submitting to voice commands, passively
believing statements by voices, etc.
Fight or flight arguing with voices or running
from them, such as through distraction
2
Notice dangers that are prominent but also
possible areas of safety. Try to picture world
accurately in regards to safety versus danger.
Picture world as good and positive, to comfort
self and feel relaxed.
Picture world as dangerous, so that one wont be
overwhelmed by any risks that werent anticipated
3
The trauma or stress is accepted as part of the
story but the story is still ongoing and is free
to move in positive directions
Block out the trauma or distress it just doesnt
existnumb.
The trauma or stress intrudes into everything
it seems to be happening right now and is
overwhelming
4
I can check in with myself and with others, and
make a conclusion based on what I notice If I
find later there is a problem with my decision, I
will change my mind.
I think or feel it therefore it is true, even
if everyone else says it isnt.
My thoughts and feelings are unreliable and
others offer so many different opinions there
is no way to decide what is true.
5
I can work toward things and see what happens If
the stress is too much, I can let go, at least
for awhile, then I can resume where I left off.
Try Too Hard If something is worthwhile, I must
keep working towards it no matter how much I
suffer.
Not Try Working towards things leads to
disaster and impossible stress, so its better to
give up before I start.
6
I negotiate my identity with others. My identity
emerges out of the mix of what I propose and what
I do, and how others see what I propose and what
I do.
I define myself completely independently of
others. If I say I am captain of a spaceship,
then I am.
I am mentally ill or incompetent, I cannot define
myself. Others tell me who and how I am.
7
I negotiate my identity with others In general
I care how others see me but I am not a captive
of the perspective of others. I decide what to
make of how they see me.
I define myself completely independently of
others I am invulnerable.
I am completely vulnerable to how others see and
define me Often I cant stand to be looked at
because of what might happen to me.
8
Cognitive approach lets share some
perspectives on where the distress here may be
coming from how to resolve it. Each of us may
be making some mistakes
Consumer I think or feel it, therefore it is
correct.
Mental Health system This person is wrong and
mentally ill, therefore we must take control away
from her and decide for her.
9
Some mix of autonomy and a sense of
belonging sometimes self asserting, other times
relaxes and lets others define self. Comfortable
intimacy with coexisting sense of independence.
Totally focused on autonomy self defining,
others have no input or connection. I am what I
say I am.
Totally focused on belonging has no self
definition, completely defined by others.
10
Medication decisions should be thoughtful,
should consider possible benefits, risks, the
possibility for reducing need for medication over
time by learning new beliefs behaviors.
I dont need any medication I dumped it all out
this morning.
Based on your diagnosis, you need to stay on
medication the rest of your life, despite the
side effects risk of early death.
11
I hold beliefs tentatively. Im open to
questioning my beliefs, but I do so gently to
avoid overwhelming my ability to stay organized.
My beliefs are 100 true and I refuse to question
them at all. I always know what is true.
I question all beliefs, even what most people
take for granted. Its hard for me to know or
focus on anything, because I am so uncertain.
12
I am vast, I contain contradictions (as Walt
Whitman said). I dont need to control
everything in my mind, its only my actions that
I need to focus on.
Dysfunctional Thought Control Strategies I
must control everything that happens in my mind.
Of course I cant control this, its not me doing
it these thoughts, images, impulses are
coming from the CIA or..
13
Valuing spontaneity but also sifting through it
my spontaneous thoughts and impulses are part of
me, but only some of them fit each situation
Overly valuing spontaneity Whatever thoughts or
impulses come into me are true and correct
Fearing and resisting spontaneity My thoughts
and impulses get me into trouble, I am ill and
must strive to be normal at all costs
14
I can walk the edge between order and chaos, I
can consider a few possible meanings and see how
they fit the context, and if necessary explore
even further..
Too much creativity I can see innumerable ways
of interpreting the simplest statement..
Too little creativity To avoid getting caught
up in chaos, I must choose one fixed
interpretation and stick with it no matter what.
15
I can hold on to, or let go of, my creativity as
appropriate, I can find something of value in my
uniqueness to share with others, while also
letting go of it when it doesnt work.
Too much creativity I try to win my way back to
social acceptability by convincing others of the
value of my bizarre experiences and
interpretations
Too little creativity In attempting to avoid
being judged for being bizarre, I end up being
too flat, negative symptoms.
16
I see myself as fundamentally OK, but am open to
learning about where I might be wrong I usually
catch mistakes before they get huge.
I believe something is fundamentally wrong with
me this leads to negative emotions and
over-reactions in an attempt to correct things,
which often compounds problems.
I dont see any problems with myself or my views
This means my mistakes dont get corrected,
instead they get compounded escalate till Im
in serious trouble.
17
Accept things as belonging somewhere, but wrestle
to put them into perspective everything I
experience is part of me, but I continually sort
out what is most helpful in a given moment
Comfort self by assuming a very narrow identity
I am only what is good and under control, that
other nasty stuff is not me.
Seek peace by allowing everything in I wont
perpetuate internal conflict by trying to reject
any thoughts, feelings or impulses as
inappropriate
18
Coexistence of some rational thinking with
irrational spontaneity Can compare things
rationally but also has enough of the spark of
imbalance to cut off comparison move forward.
No rationality or comparisons A thought,
perception, or experience is just taken as
perfect in itself, without comparisons or
rational criticism.
Too many comparisons or too much rationality
No ability to decide, relax, or enjoy, because
endless comparisons, endless second guessing, etc.
19
Some ability to practice mindfulness Willingness
to experience whatever is in ones mind, but also
able to disengage from it and see other
perspectives.
Experiential Avoidance Attempts are made to not
have thoughts, emotions, impulses, perceptions
etc. which are evaluated as bad.
Emotional reasoning or fusion Emotions and
other mental content is just taken as true in
itself, and allowed to determine the persons
direction, without rational criticism.
20
All things in moderation, including moderation
It is normal to be extreme at times, though I can
also be comfortable in the middle I have options.
I must go to an extreme to be safe and/or
correct Life is extreme and demanding, and I
must be extreme in response.
I must always be moderate Being extreme in any
way is a sign of sickness, I must always be in
the middle, always be normal.
21
Spontaneity mixed with modest editing or
self-criticism I value my spontaneity but I can
also step back from it and can often sort out the
useful from the not.
Totally Spontaneous I think or do whatever
occurs to me, with no pause for self-criticism.
I jump to conclusions.
Overwhelmed by self-criticism I see flaws in
everything I come up with, nothing is good
enough. I stuff any feeling that might lead
toward a conclusion.
22
Willing to question myself but also able to
decide when I have questioned or fretted
enough After what seems like enough worrying or
fretting, I decide what to do and just do my best.
Inability to calm self, to stop worrying or
decide on a path Nothing is good enough, I must
continue to fret endlessly.
Complete certainty and being unperturbed no
matter what I am completely happy with my
thoughts and interpretations even when they are
out of touch.
23
Detached from the irrelevant, Attached to living
out core values I do my best to act on my
values and once Ive done my best, I let go of
the rest.
Very attached to outcome, attempting to control,
caring to the point of being overwhelmed I cant
let go even if its unnecessary and/or its
killing me.
Very detached, not attempting to control, not
caring to the point of self neglect I deal
with potential frustration by not trying.
24
A balance between focus and ability to make novel
associations I can focus in conventional ways,
but also break free at times to see new forms of
meaning.
Too many associations I see so many possible
associations, so many meanings, that nothing
makes any particular kind of sense.
Too few associations I see only one or two
fairly dull ways of looking at things. Excessive
focus, things have meaning but it is narrow and
sterile.
25
I have my feelings and body reactions, but I am
also more than that
Depersonalized- experience oneself as totally
separate from body and feelings
Fused with body reactions and feelings I cant
do or think anything independently or in
opposition to them.
26
Open to hearing criticism but makes own decisions
about what to make of it Can often see
criticism as partly true, partly not, and use it
constructively.
Overprotection from criticism No criticism is
accepted, even that which could be very useful.
Overly defensive.
Collapse under criticism Cannot sustain own
point of view, gives too much weight to critical
views.
27
Medium arousal Making distinctions and
applying values, but also seeing commonalities
and shades of grey. Can make an effort and then
let go.
Low arousal Not thinking about it, dull,
passive, not making distinctions or seeing
differences.
High arousal Black and white thinking, extreme
reactions, highly polarized
28
accept the things I cannot change...courage to
change the things I can Person can do
rational problem solving but also let go of
problems when they are hopeless or overwhelming
Thinking that perpetuates stress Person is
unwilling to see any problem as too difficult to
solve, no letting go of problems even as person
becomes overwhelmed.
Letting go of too much Person does not face or
address problems or even bother to think
logically about them.
29
I can think through whether associations with the
trauma are relevant or irrelevant in a given
situation. Balance between associate and
dissociate.
Fixed associations based on trauma For example,
my abuser wore a green coat, now all green coats
mean severe threat
Dissociation to protect from trauma
associations I avoid traumatic over-reactions by
under-reacting, but then I fail to protect myself
from future threats.
30
Conscious mind comfortably shares power with that
which is less conscious at any given time.
Conscious mind seen as ones complete identity
and all powerful even though it is just a
fragment of the whole.
Conscious mind feels demoralized and powerless.
31
Open to input from all feelings but integrates
the feelings into an overall sense of values
before acting Influenced by feelings but not
overwhelmed by them.
Acts only on consciously approved feelings and
avoids, blocks out, or dissociates
others Unstable or excessively narrow identity.
Acts on whatever feelings emerge in the moment
Fuses with and acts on feelings that are not
subject to conscious evaluation.
32
There is a problem, but it doesnt define me, and
its potentially temporary I will pay attention,
learn about it, get help, and try different
things, and the problem can likely be resolved.
There is no problem If anyone thinks I have a
problem, that is a problem with them.
I am and will continue to be the problem, Im
mentally ill I hope someone gives me a pill to
change me into something not quite so bad.
33
Relaxed awareness There are real issues here for
me, but I can deal with them in a relaxed and
coherent way.
Numbing None of this matters to me, Im
indifferent.
Hyperarousal Every detail is critically
important, I must be totally on guard.
34
I have some power and stick up for myself
successfully Because I assert myself, others
arent so bad to me and they dont see me as bad
either.
I am weak, others are bad and dangerous I need
to watch out for them, but there isnt much I can
do.
I fight others, they see me as dangerous and
bad Im defending myself in the only way I know
how.
35
Self affirmation combined with reasonable
openness to self criticism Critical emotions or
voices or thoughts are often partly wrong yet
partly right after all I am simply human.
Excessive aggression toward self I see myself as
deeply flawed, worthless, unsafe, guilty,
shameful, etc. All my negative emotions and
voices are correct.
Excessive defending of oneself I see all
critiques of myself as invalid, and so I block
the emotion or voice, or see it as totally
external and evil.
36
I do what I can, then I make wise choices about
when and how to surrender or let go of the
rest I turn over power only to what is good or
once I have done what I can to create what is
good.
I surrender to a higher power, or voice, even
when it appears to be persecutory or
corrupt Since I have no real power, I might as
well surrender now and get it over with.
I never surrender to a higher power, or let go in
any way I take responsibility for everything,
even the impossible. I refuse to ever lower my
expectations.
37
Its normal to be a little crazy, but I can catch
things before they get out of hand Not stressed
by minor anomalies, but does effectively
challenge dysfunctional reactions.
Fear of going mad Hypervigilant for signs of
madness, attempts to control thoughts and
emotions, reacts strongly to minor anomalies.
Sealing over, dont even think about possible
madness If I dont think about madness then I
wont be bothered by it.
38
Mix of literal and metaphorical thinking I can
both see distinctions, and see similarities that
go beyond the distinctions. Particle and Wave
Excessively metaphorical thinking Everything is
connected, and everything is everything else Im
dreaming while awake. Wave
Excessively literal thinking I fail to see
connections and similarities, for me the world is
divided into categories that have nothing to do
with each other. Particle
39
I let the memory occur, but I have ways of
reducing its intensity I can note that reduced
intensity and remind myself it is just a memory
now.
Remember so vividly it seems to be happening
right now The memory is so vivid I get
retraumatized just by having it, and I still
dont put it in context.
Refuse to let the memory intrude I stop the
memory from retraumatizing me right now, but I
also fail to integrate it so I will run into
problems with it later.
40
Individuated I am connected to, but I am not
defined exclusively by, my . Family Feelings Th
oughts or voices Etc.
Cutoff Im not connected at all to my
.. Family Feelings Thoughts or voices Etc.
Enmeshment I am totally defined by, and Im
drowning in, my . Family Feelings Thoughts or
voices Etc
41
Good mix of spontaneity with self control I can
focus on important intentions and self control,
but I can also let go in various ways, to laugh,
sleep, etc.
Too intentional, too focused on control I try to
control my thoughts and everything that goes on
inside me, I cant even let go in order to sleep.
Too spontaneous My conscious mind is too
passive, associations are made in a dreamlike
way, there is no order.
42
Willing to have the experience but put it in
perspective I dont need to stop myself from
having the experience, but I can put it into
perspective not make too much of it.
Over-valued experience I see my experience as
completely true and significant.
Overly concerned with controlling the
experience I believe having the experience can
destroy me so I focus on trying to get rid of it.
43
I own my thoughts and experiences, though they
dont define me Its what I choose to do with my
thoughts and experiences that makes me who I am.
I am my thoughts or experiences I must control
my thoughts and experiences so that none of them
are evil or crazy.
These thoughts or experiences are coming from
somewhere outside of me Im not responsible, Im
the victim of others.
44
I am both self-determining and vulnerable I
choose my initiatives and responses, but I am
also vulnerable to others and to how what I
initiate is received, both internally and
externally.
I am completely self-determining I withdraw from
anything that I cannot control. Only that which
I decide is part of me.
I am completely vulnerable I cant change
anything, I have no responsibility. Im a victim.
45
Be open minded about safety and danger I accept
the reality of uncertainty, I question both fears
and feelings of safety, I make as wise decisions
as I can and then correct course when I detect a
mistake.
Distrust any feeling of safety Remember times in
the past when safety proved to be an illusion.
Be on guard!
Distrust any fear or feeling of threat Remember
how I gave in to false alarms in the past.
Suppress the fear, full speed ahead!
46
I prefer to connect with you, but I make do, or
find others, if you arent there You mean
something to me but I am something without you as
well.
I desperately need you Without you I am nothing.
I dont need you at all Nothing you say, think,
or feel means anything to me. I am just so
independent!
47
I see everything as different in some sense yet
also the same in some sense Im willing to
explore different senses, different ways of
organizing information or not.
I put everything into airtight categories or
compartments Everything is completely separate
and has nothing to do with anything else. Its
very orderly.
I see the world without any categories at all I
have no way to organize my perceptions or make
any sense out of them.
48
Balance between under and over-reacting If Im
off balance one way or the other, I quickly self
correct. I try but not too hard.
Positive Symptoms Mind is over-reactive in
response to stress and lack of control, jumps to
conclusions, etc.
Negative Symptoms Mind protects itself by
under-reacting to stress or lack of control, by
not trying etc.
49
I have something to say, but I also accept input
from others I listen to different viewpoints,
then I do some mix of going along with others and
deciding my own path, depending on the situation.
I am dominant I dont trust others or what they
have to say. I decide what will happen, when,
and how, without input from others.
I am submissive I cant trust myself, and
others have all the power I will only get hurt
if I oppose them.
50
I am creatively maladjusted I can roll with
things as they are when that makes sense, but I
can also pick a good time to make a stand and
work for meaningful change.
I am always focused on being adjusted to things
as they are. I cant change things so I just
accept them as they are, even when they are
rotten.
I am always maladjusted I totally resist things
as they are, even when fighting against them
leads to my self destruction and no real change
in what I dont like.
51
Healthy dialogue between spirituality and
creativity I can come up with metaphors, images
and words for things, but also recognize that
reality goes beyond those containers.
Creativity without Spirituality Metaphor is
taken as real, rather than as pointing at
something else beyond it.
Spirituality without Creativity Seeing no
metaphor for experience, no way to express it or
put it into words or images, it is overwhelming.
52
Whats going on in my mind partly represents
reality and partly doesnt I engage in an
ongoing meaningful interaction where I test out
ideas and clarify whats in my mind.
What is going on in my mind is what is real. I
dont need to look outside of my mind or question
it in any way, if my mind says its real, its
the literal truth.
Whats going on in my mind has nothing to do with
reality The contents of my mind are all crazy,
and I am helpless to engage with the world in any
meaningful way.
53
Focus on living a good life I dont waste energy
opposing the voices just for the sake of
conflict, but if they push for something that
will harm my life, I will stand firm against it.
Excess focus on conflict I am always ready to do
battle with the voices, my goal is to drive them
out of existence.
Excess focus on appeasement Its better to give
in to the voices, even when they are
unreasonable, rather than risk upsetting them.
54
I see a spectrum of choices I can pick whatever
seems like the most appropriate behavior,
including options in the middle ground between
fight/submit and flight/freeze.
Fight or flight I take extreme action to avoid
or defend against what threatens me.
Freeze or submit I take no action to avoid, or
completely give in to, that which threatens me.
This protects me from damage that could be caused
by attempts to fight or flee.
55
Wise choices about what kinds of risks to take I
am thoughtful regarding which risks are best
avoided and which risks it makes sense to take so
I can move forward.
Overly risky behavior I avoid noticing risks
that are present, so I can feel free to move
ahead in my life no matter what.
Excess risk avoidance, or too many safety
behaviors I avoid danger even when risks are
low compared to potential benefits, and this
stops me from moving forward in my life.
56
Can worry to a realistic degree, then drop it I
need to worry enough to come up with a reasonable
plan, then I can just proceed with the plan and
see how things work out.
Avoid worry and see it as a threat Worry is
dangerous to me. I need to distract myself so I
dont worry, I cant control my worry if it
starts.
Overly values worry Worry is necessary to
protect me from having bad things happen to me.
57
I can put the abuser into perspective rather than
see myself through his/her perspective Im not
scared of reminders of the abuser because they
are no longer a big deal to me.
Hate abuser and reminders of abuser I want to
eliminate even a trace of the memory of the
abuser from my life, so I dont have to feel
victimized anymore.
Felt need to remember the abuser the abusers
perspective in order to defend against it In
order to be safe, I must remember the abuser
his perspective.
58
I can face external threats while also managing
to avoid over-stressing myself I focus on doing
what I can then avoid over-stressing by letting
the rest go.
I need to calm and soothe myself no matter
what If I fall apart inside, I will be
completely useless, so I need to lie to myself
about external threats if necessary to calm
myself.
I need to face the demands of the external threat
no matter what effect that has on my internal
world I cant take time to attempt any self
soothing.
59
I get to know myself gradually I make sure I
have resources to fall back on so that I can
handle difficult experiences as it comes time to
face them.
I dont want to understand myself or my past
experience Please distract me from myself, or
numb me out, no matter what the cost!
I am willing to face anything about myself, even
that which Im not ready to handle I dont have
any sense of preparedness or pacing, so I
overwhelm myself.
60
I honor my uniqueness but also explore what I
have in common with others I can follow social
norms when that makes sense, but I also get
around to expressing what is different about me.
Reacting to my unique self, and my unique traumas
and unusual experiences, I seem weird to
others But I just act on what I feel, even if
the social consequences are not good.
I see a need to hide my weirdness from
others This means that instead of trying to
express myself with others, I am more focused on
hiding myself, which makes me weird.
61
I have lots of faults but thats
understandable I move toward what I see as good
as best I can, changing course as I learn more,
and this process of doing what I can is perfectly
acceptable.
Im spiritually fine, perfect just as I am I
dont need to do a thing to make anything better,
Im invulnerable, perfect, beyond criticism.
Im evil and doomed Im in hell already,
persecuted endlessly, full of evil, there is no
way out.
62
Improved perspective evolves out of the tension
between previous viewpoints and those resulting
from the trauma I value all my experience though
I need to wrestle to find the right perspective
on it.
Identify with the status quo before the
trauma Everything would be OK if I could just go
back to that.
Identify with the new viewpoint developed in
response to the trauma Everything will be better
if the new beliefs and perspectives just win
completely and blow the old patterns away.
63
Improved perspective evolves out of the tension
between previous viewpoints and the psychosis I
value all my experience though I need to wrestle
to find the right perspective on it.
Identify with the status quo before the
psychosis Everything would be OK if I could just
go back to that.
Identify with the psychosis Everything will be
better if the new beliefs and perspectives just
win completely and blow the old patterns away.
64
My identity is always emerging I am not just
what I have already done or how I have already
been seen, rather, I am also the process of
recreating myself to meet each new circumstance.
I am what I am identified as Whatever I am
currently doing and however I am seen, that is
who I am.
I am not what I have been identified as Whatever
I am currently doing or being seen as, has no
relationship to who I am.
65
I can learn to escape from or cause change in the
dark side of others, while maintaining positive
connections I experiment with trying to change
myself, my relationships and others to make this
happen.
I need to escape from or destroy whoever hurts
me I need to withdraw from or destroy those who
hurt me no matter what.
I need to attach even when it hurts I cant
afford to be alone, so I need to accept any pain
as being my own fault and see the other as
blameless.
66
I balance respecting and enjoying things as they
are with taking action to meet my needs A good
balance can emerge from the tension between the
appreciation of things as they are, and the need
to move and change.
I love everything and everyone absolutely Everyon
e and everything is perfect just the way it is,
so I have no right to alter or hurt anything,
even if my needs are unmet.
I want to destroy all of creation I am unhappy,
so everything and everyone must go, or be
obliterated.

67
I make a reasonable attempt at control, then let
the rest go I try to create a good impression,
but I accept that I am always only partly in
control of what actually happens.
Overly focused on control I must control my own
thoughts and feelings, and also control what
others secretly think and feel about me.
Giving up control I cant control anything so
why try.

68
Self esteem that incorporates reasonable self
criticism I am open to realistically seeing both
my strengths and weaknesses, and my self esteem
is based on seeing myself relatively clearly.
Self esteem no matter what I am determined to
think positive about myself no matter what. I
block out information that doesnt fit my
positive thoughts.
Self criticism without restraint I am determined
to see all my faults, even those that are
imaginary.

69
I try to use good judgment I proceed with my
best judgment, but then if I see substantial
evidence that I might have misjudged, I
reevaluate.
Ignore context, I know what things are I will go
ahead based on my current perceptions without
paying any attention to wider context or contrary
evidence.
Context changes everything, nothing can be
trusted to be as it seems I must be
hypervigilant for the subtlest indicators that
may show that everything is different.

70
I am imperfect and vulnerable, but I do have some
value and power I experiment in looking for ways
to escape mistreatment, either by changing myself
or changing relationships.
I am innocent, alone, and helpless Others harm
me when they want, for no good reason, and there
is nothing I can do about it.
I am bad, but also very powerful and allied with
powerful others I choose to harm myself, or I
choose to let others harm me, because it is the
punishment I deserve. It will make me better.

71
Uncertain yet finding spiritual safety in
uncertainty I cannot rely on any thing to keep
me safe. But I can trust the process of doing my
best, then letting go in each moment.
Overly vulnerable after trauma I cannot rely on
anything to keep me safe. Previous knowledge has
been shown to be inadequate.
Overly reliant on denial after trauma Through my
new spiritual/magical method, I can now be
invulnerable to the kinds of threat that happened
before.

72
Work, then relax
Let go of everything
Stress out endlessly

73
Balance of realism and magic I start solving
my problems with imagination (which is enough in
itself for the imaginary problems!) but then I
follow up with practical action.
Magical thinking I can solve any problem just by
imagining a solution, I dont need to be
practical.
All my problems are real I am weighed down by
how overwhelming it all is.

74
Im human and imperfect, and the others are as
well When we have conflict, I assume I will be
right some of the time, and they will be right
some of the time.
Im bad, important others are good I can bond
with these others even though they hurt me (I
deserve it for being bad.)
Im good, important others are bad I must get
away from them, or defeat them.

75
Im a mix of good and bad, and others are as
well We will probably hurt each other sometimes,
but not all the time.
Bad me paranoia I anticipate others will
persecute me because of my badness.
Good me paranoia Since others are not so good,
I expect they will persecute me.

76
Flashback defines a portion of the past, but
doesnt dominate the present
Flashback defines who/where I am in the present
Flashback is shut out It has no reality at all

77
Good balance of short and long term strategies
Persist in behavior with short term payoff
despite reasonably clear evidence it will lead to
a huge long term problem
Persist in strategy with a hoped for long term
payoff, despite intense short term costs and the
absence of clear evidence that long term payoff
will come true

78
Good judgment about when to be flexible and when
to be unbending I make good decisions about when
to hold to my faith and when to change my ideas
to fit new circumstances.
Be flexible to fit immediate context Even when
this means giving up on longer term strategies.
Have faith to persist despite what is believed to
be a temporary lack of confirmation from
immediate context Even when costs are great and
current feedback indicates strategy wont work.

79
Uses magic or imagination when needed to
experiment with reshaping how things are seen,
but also takes practical action when that is
called for.
Fail to use magic or imagination even in areas
where it best applies Because of this, one is a
victim of what has been imagined by others or
other parts of self.
Think magic or imagination, can be applied as a
solution in an area where some other kind of
action is needed Believes in solutions that
dont work, and doesnt do what would work.

80
Constantly evolving and complex perception of a
mix of threat and safety I can often find
safety in the midst of danger, and see the danger
in assuming too much safety.
Protect self from failing to perceive a threat by
being biased toward seeing it Im not afraid to
look on the dark side, but sometimes I see
threats that arent real.
Use magic or imagination or biased perception
to increase sense of safety I know how to look
on the bright side! But I fail to detect many
real threats.

81
Opposing bad decisions but supporting
autonomy Coercion used only as a last resort to
block really major bad decisions emphasis is on
helping person regain autonomy combined with
competent decisions.
Destroying peoples autonomy in order to save
them Prior bad decisions are seen as proof that
persons autonomy must be restricted in the
future by medications and other means.
Just letting people destroy themselves A
persons autonomy is respected, even to the point
of letting them carry out bad decisions that
destroy themselves and hurt others.

82
Expectations fit the circumstances Person learns
to expect what is available adjusts
expectations to changing circumstances.
Too great of positive expectations or the wrong
expectations Unrealistic expectations lead to
frustration and suffering.
Too few positive expectations Important
opportunities are missed because there is no
expectation that they are available.

83
Balance of attachment and detachment I can value
things and people and attach to them, but I can
also let go when hanging on leads to too much
stress.
Too much attachment I need things to be a
certain way, I dont let go even when hanging on
leads to overwhelming stress.
Too little attachment I dont care if there are
losses and wounds, in fact I prove it by
inflicting them on myself!

84
Balance of use of categories and ability to see
how individual events or people dont totally fit
the category Categorical enough to not be
overwhelmed, but also able to get free of
categories when that is helpful.
Excess thinking in categories I see things just
in terms of pre-fabricated categories (seeing
things excessively in terms of categories, and
not specifics, is associated with depression.)
Things are excessively specific I see things
only as individual events, as I result my senses
are overloaded by the blooming buzzing confusion

85
Balance of going out to extremes and coming back
to center to regain flexibility Looks like
healthy attachment, where child balances
exploring with going back to parent for
comforting nurturing.
Excessively centered Always stays close to the
center in an attempt to retain flexibility, but
in so doing loses the capacity to go to extremes,
in other words, loses flexibility.
Goes to extremes and gets stuck there Expresses
freedom from the tyranny of the center by going
to an extreme, but then loses flexibility by
being extreme.

86
Balances need to maintain hope by noticing all
possibilities for control, with need to weed
out illusory pattern perception that could lead
to misguided efforts.
Grabbing at straws to see a way of controlling
an out of control situation Often sees illusory
patterns because looking so hard at faint
associations.
Giving up attempts to control, being
hopeless Person may give up even though some
pattern of acting would have worked to control
the situation.

87
Dynamic tension between acceptance of uncertainty
and efforts to resolve it This leads to a
nuanced view, which includes both ability to make
conclusions and an ability to see past
conclusions.
Too little toleration of uncertainty This leads
to jumping to conclusions, to reduce the
uncertainty.
Too much toleration of uncertainty This leads to
being incurious, lack of interest, a negative
symptom.

88
Needs and Values are integrated Each need or
value finds some kind of place, in a dynamic,
shifting balance. Nothing is either totally
denied or totally dominant.
A need or value is denied This may reduce
conflict with other needs, but perhaps out of
awareness, pressure to meet the denied need
builds up.
Denied need or value suddenly becomes dominant A
long pent-up demand may be satisfied, but perhaps
at enormous cost to other needs and values

89
My experiences have some value and potential
meaning, but I may need to sort out in just what
sense I dont need to reject any of my
experiences but I may have to search to find a
wise interpretation of them.
My experience is meaningless, it is just the
result of an illness It is just the result of a
chemical imbalance, or random misfiring due to a
brain disease
My experience is completely meaningful and
accurate All my conclusions are completely true
and I dont have to doubt or sort through any of
them.

90
Psychotic experience is seen as having a mix of
danger and possible value Health is seen as
coming from sorting out the misleading aspects of
the experience from potentially helpful aspects.
Psychotic experience is seen as entirely sick or
bad To be healthy I must seek to get rid of
every bit of this kind of experience of
whatever is causing it.
Psychotic experience is seen as very
good Efforts are made to have more of it
encourage whatever is causing it.

91
Balance of Divergent and Convergent
Thinking Person can alternate between both
thinking styles in a way that integrates into a
good life.
Divergent Thinking Also seen as loose
associations or even dissociation, leads to
unusual perceptions experiences, common in
poets, visual artists.
Convergent Thinking Also seen as a narrowing of
associations, fewer unusual experiences but also
something like negative symptoms, common in
mathematicians, engineers etc.

92
Having ones own world but also relating that
world to the world of others One is able to
focus on the points of contact between ones own
world and the world as seen by others, so
communication happens.
Live in ones own world Be so unique in the way
one sees things and expresses about things that
others cannot connect, there is no communication.
Fail to even have ones own world Be so focused
on being normal that one has nothing of ones
own to contribute, nothing to say.

93
I have a semi-permeable boundary with others and
the world I use judgment to decide when to hold
onto my views despite disagreement, and when to
change them. I am just somewhat open.
Being too closed off from others and from the
world What I hold as true is not affected by
exterior evidence or by what others think.
Being too sensitive to the world and others
What I hold as true can be easily overwhelmed by
the views of others or by random bits of the
external world.

94
I make assumptions but also can open them up
to questioning when they arent working out well.
Assume too much I refuse to question my
assumptions, my perceptions, and my conclusions.
Assume too little I question too much, dont
know what to assume, cant organize my
perceptions or make conclusions.

95
I trust in my own efforts working alongside the
spontaneous, or Nature, or Spirit My own efforts
have a role, but I dont get overwhelmed because
I can also let go and trust.
Mistrust in the spontaneous, or Nature, or
Spirit Because I lack trust, I must rely
exclusively on my own efforts, and so I get
overwhelmed.
Blind trust in the spontaneous, or Nature, or
Spirit Since I am so trusting, I make no efforts
to sort things out for myself, or to question
what pops into my head.

96
Both methods of processing are used The gifts
and the limits of each method of processing are
noticed and respected.
Overly focused on left brain processing only
that which is in words and/or makes logical sense
is real
Overly focused on right brain processing Patterns
are seen in ways not easily put into words or
communicated, and no attempts are made to
logically sort things out.

97
Balance of spontaneity with management I trust
my mind but also Im aware it can make mistakes,
and I have a process of detecting and working
through them where possible.
Micro-managing mental events I feel the need to
control every aspect of how I think, feel, and
process perceptions its overwhelming!
Lack of management of mental events I give up
trying to manage how my mind works, its out of
control. Whatever I think, feel, perceive just
is what it is. I dont notice mistakes

98
Whos responsible for what hurts? Abused
children usually blame themselves, but as adults,
may shift to blaming others excessively.
Realistic locus of control Sometimes I run into
trouble because others are hostile, sometimes I
create my own problems. I can learn to respond
appropriately to each situation.
Excessively internal locus of control Im not
being abused or abandoned, its only that Ive
been bad, as soon as I change that everything
will be better.
Excessively external locus of control Im
actually quite good, but various external forces
(other people, voices, or entities) are evil and
are persecuting me.

99
Two Extremes in Seeking Safety, Not Very
Compatible
Guard against either ignoring threats or seeing
exaggerated threat I seek to be vigilant but not
hypervigilant, to maintain a feeling of safety
without being oblivious.
Focus on defending against external threat, guard
against feeling too safe internally to maintain
vigilance.
Focus on maintaining internal sense of safety,
guard against perceiving too much external
threat to maintain stability.

100
CBT for psychosis includes off the map
exploration
Follows charted routes when that makes sense, but
also willing to explore uncharted territory When
I explore uncharted territory, I tend to make
charts as I go as much as I can.
Therapy by formula I just do what is in the
therapy manual, whether it works or makes sense
to the individual client or not. I always
know exactly what I am doing though.
Columbus therapy I set off not knowing where I
am going, get there dont know where I am, then
get back and dont know where Ive been.