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Title: Levels of


1
Levels of Awareness in Psychotherapy
Mohamed Taha Siddik, Ph. D.
2
Awareness is the Antidote to Nihilism
John Fudjack, 1995
3
Consciousness And Awareness
  • The consciousness is all that we know, it is the
    fundamental sense of presence that we feel, and
    it is a universal feeling of the sense of being.
  • Consciousness "sense of presence" "the
    being-ness" the "I Am."
  • Awareness "is that by which I know that I am."
    Thus the awareness is there before the "I am" (or
    consciousness) appears, and is there after the
    consciousness disappears (unconsciousness or
    death).
  • So the awareness is beyond even the universal
    consciousness.

4
Consciousness, Awareness Brain, Mind
  • Consciousness is a state of brain, that has
    degrees
  • Full consciousness
    - Delirium
  • Cloudiness
    - Stupor
  • Drowsiness
    - Coma

Awareness is a state of mind, that has levels.
The Mind is a natural object. It is just that it
is invisible and intangible, meaning it can pass
freely through physical objects. It is also not
composed of ordinary matter. But we must go
beyond that to explain the details both of
ordinary life and of the extraordinary phenomena
uncovered by psychical research.
5
7 Levels of awareness (Yourell, 2004)
  • Surface
  • Reactive
  • Deep Reactive
  • Potentialized
  • Deep Potential
  • Spiritual
  • Deep Spiritual

6
  • What is the relation between these levels ?

Is every level more expanded than the other ?
Or is it more deep ?
7
It seems to be a bidirectional, three dimensional
relation with a gradually changing quality.
8
Level One Surface Level
General Description
  • Stereotypical reactions showing little insight
    or introspection.
  • Defensiveness, whether flat or emotional.
  • Clearly defined and superficial interpretation
    of events and their meaning.
  • Little sense that current problems are part of a
    maturational process, or of psychological needs
    or dynamics that appear to underlie the client's
    behavior or symptoms that are related to the
    problem.
  • The client may harbor a simplistic view of the
    solution.
  • He may hinge on a concrete change in external
    circumstances that the client feels dependent on.

9
Examples from our therapy groups
?.?. Defensiveness, Judgmental attitude,
Superficial interpretations

?.?Stereotypy, Defensive intellectualization

?.?Stereotypy, Defensive regression

10
Values in Psychotherapy
  • Therapists often feel helpless or bewildered,
    unless they have good experience with such
    clients
  • Don't waste time in unproductive talk therapy
  • Direct and concrete confrontation about the
    linkage between clients behaviors and the
    results
  • Build initial rapport by accepting the client's
    superficial desires and needs

11
Level Two Reactive Level
  • The client gives the impression of allowing his
    awareness to move closer to alternate
    perspectives and explanations.
  • The client will react to this movement, but the
    reaction depends on variables such as
  • The client's level of organization
  • The emotional intensity of the material

12
Examples from our therapy groups
??. ? (?? ?????? ???????) Possibility that we
might accept and love her unconditionally


?? ???? ????? 05-6-12Notice he intolerance to
the intense emotionally charged practiced gestalt
game
13
Values in Psychotherapy
  • Clients experience emotional distress, regarding
    their own behavior, or a sense that they can
    prevent destructive situations that plague them
  • Increase your client's discomfort with their
    more destructive defenses, and status quo. Help
    the client be acutely aware of the negative
    results of acting out.
  • Limitations to awareness and motivation may be
    resulting directly from chemical abuse.

14
Level Three Deep Reactive Level
  • The client is more aware of his own process and
    material, but has not yet effectively processed
    it (inactive awareness).
  • If the client has spent much time at this level,
    he is probably more able to perceive and
    understand his psychological defenses and
    underlying irrational or primitive motives.
  • Client is still reactive to unprocessed
    material, and can find it more distressing.
  • The client may have automatic defenses despite
    his margin of psychological sophistication,
    communication, and emotional breadth
  • A loss of these defenses or other means of
    coping can collapse the client into an
    immobilized or agitated state that his current
    level of awareness does not understand
  • Clients at this level often appear to be at a
    more pivotal point in life or treatment.

15
Examples from our therapy groups
  • ?.? - Fair awareness of her inside needs,
    conflicts and obstacles ..but this awareness is
    not yet active in terms of visible change and
    growth.
  • Still reactive to unprocessed material
    (resistance)
  • Automatic defenses (passive aggression, acting
    out)

?? (??? ??? ????) - Good awareness of her
internal dynamics, without active forward steps,
only interrupted, incomplete in-place ones.
? - Aware of his internal psychological
dynamics but stagnant and stuck to this
information.
16
Values in Psychotherapy
  • The previous level's comments largely apply here
  • Often, your clients greater tolerance of
    awareness stems from them having sufficient
    organization and safety
  • It is easier to help such a client identify and
    value the full range of treatment goals you would
    suggest.

17
Level Four Potentialized Level
  • Client has at least an intuitive sense that
    greater inner awareness and experience is
    valuable, and constructively responds to this
    kind of awareness
  • The client may show more freedom to look at a
    situation from different perspectives and to seek
    creative solutions (active awareness).
  • The client can sense that releasing tension
    could be good for their health
  • As a therapist, you are more likely to feel
    "met" by this client, and sense a depth of
    humanity that seems absent at the prior levels
  • Therapeutic objectives may seem more accessible,
    and the therapist may feel more optimistic
  • This, and especially the following levels,
    appear to benefit most from increasing the charge
    (sense of energy, including emotion) the client
    experiences
  • It seems that such client's innate adaptive
    information processing is sufficiently active
    that adding charge to their psychological make up
    serves as fuel for the client's psychological
    life and growth
  • Rather than reactive, this level and up is
    responsive/ responsible.

18
Examples from our therapy groups
?. ?? ?????? ????????- Adaptive information
processing to the worked-in material lead to a
creative solution with taking responsibility. -
Met by the therapist and other members
?? ????????? ???????- Releasing tension
(aggression, acting out)

19
Values in Psychotherapy
  • Initial experience of definite physical release
    smoother and often spontaneous cognitive
    restructuring
  • Continued cognitive restructuring, enhancement
    and anchoring of the positive physical state
    reinforcing your client's increased sense of
    motivation for meaningful change.

20
Level Five Deep Potential Level
  • The client seems to experience a fundamental
    sense of validity or connectedness
  • sense of internal safety that does not require
    stereotypical defenses
  • The client at least intuitively understands the
    value of releasing chronic tension that has built
    up
  • Change may seem more playful, flexible,
    collaborative or wise.
  • Clients are more likely to express an experience
    that resembles energy, or at least more sense of
    aliveness

21
Examples from our therapy groups
?. ?? ???????? ???? ??????- Connectedness with
nearly every group member - Validity of
internal experience
?? ????????? ???????- Releasing tension
(Hallucinatory experience)
- Internal safety -
Playful, flexible, collaborative or wise. -
Energy, aliveness
22
Values in Psychotherapy
  • Mental rehearsal of appropriate behavior
  • Encourage your client consciously or
    unconsciously for creative problem solving, being
    able to respond to emotionally arousing
    situations in a more confident and constructive
    manner.

23
Level Six Spiritual Level
  • The client may cross what seems to be a profound
    boundary into a sense of a spiritual reality
  • Sense of all things being connected in some way
  • Clients often refer to this experience as one
    they will always remember
  • Shift in their feelings about life, death and
    love
  • Clients who experience this level can lose their
    fear of death and commit themselves to improving
    relationships for a higher purpose
  • They may sense support from a higher power (GOD)
    that corresponds to their religious beliefs or
    that is more abstract and hard to define
  • The state itself is rarely long-lasting, but the
    client may now have a sense of being either on or
    off "the path" and take measures to stay on the
    path
  • The client sees the value of activities that
    move toward meaning, rather than avoiding fear
  • Derive much metaphorical significance from
    everyday experiences

24
Examples from our therapy groups
?. ? (our group leader) - Senses that all
things are connected in some way
- Has Different feelings about life, death and
love - Committed himself to improving
relationships for a higher purpose - Senses of
support from GOD - Prefer activities that move
toward meaning, rather than avoiding fear -
Derives much metaphorical significance from
everyday experiences
?? - Briefly touched this level, for minutes
- A deep change followed
25
Values in Psychotherapy
  • Validates positive cognitions in a profound way
    for your clients.
  • Orient your clients to their potential for
    handling situations and for their growth, even
    their relationship to death.
  • Brief, not distracting, reinforcement of
    insights and feelings verbalized. Allow client
    time in this state to increase the likelihood
    that it will become a body mind memory for future
    conscious and unconscious reference

26
Level Seven Deep Spiritual Level
  • Intensified experience of the previous one
  • Transpersonal experiences such as contact with a
    religious figure or other symbolic experiences
  • A strong sense of energy or peace of mind that
    is difficult to explain but is meaningful
  • Clients may experience a reverie that provides
    waves of insight
  • Clients often wish to have some time at this
    level that does not involve actively working on
    issues.

27
Examples from our therapy groups
?. - Her feeling of deep
contact with GOD - Sense of energy and peace of
mind - Waves of insight - Preferred not to
involve actively working on issues
??? ????????- Sufism experience

28
Values in Psychotherapy
  • Many clients report this as a life-changing
    experience that enhances their philosophy of
    life.
  • Validate the experience and reinforce their
    client's new patterns of behavior and feeling

29
Levels of Awareness A New Key to Psychiatry
Questionable points for further research
- According to efficacy of awareness
A- Re-classifying levels
Ineffective awareness 1. Surface 2. Reactive 3.
Deep Reactive
- For educational simplification
  • Surface

2. Reactive 3. Deep Reactive
Effective awareness 4. Potentialized 5. Deep
Potential 6. Spiritual 7. Deep Spiritual
4. Potentialized 5. Deep Potential
6. Spiritual 7. Deep Spiritual
30
B- Direction of arrangement of the levels
From up downwards (Deeper is below)
From Down upwards (Deeper is above)
31
C- General principles concerning levels of
awareness
  • All of these levels present in the matrix of
    every human being. One/some are active/
    predominant. Others are not.
  • Psychotherapy or any other growth experience
    does not create new levels of awareness. It only
    activates inactive levels (by introjection,
    expansion and deepening)
  • Most Individuals predominantly live in/with one
    level of awareness (mostly surface) which is then
    their most active level and not necessarily the
    most effective.
  • Being in a deeper level does not necessitate
    passing through previous levels
  • Each level has its associated vision and
    experience.
  • Tolerating this vision and experience enhance
    upward movement to the next level
  • Intolerance of them leads to stagnation/regressio
    n, rigidity/disintegration and fixation at a
    specific style of life.

32
D- Occupation of individuals inside/within their
active level of awareness
  • One who is closer to the previous level
  • One who is closer to the next level
  • One who is merely centered in this level

33
E- Role of introjected object-relations in the
levels of awareness
  • Introjected object-relations may occupy
    different levels of awareness, according to
    variables
  • Quality of outer object representation
  • Quality of self representation in relation to
    the object
  • Emotional content of the relation
  • Perceptual significance differences
  • other factors
  • Their presence may
  • Trigger defensive functioning (fixation,
    freezing, growth paralysis)
  • Quantitatively and qualitatively expand and
    deepen awareness

34
F- Nature of movement through levels
  • Dialectical, synthetic (gathers, units and
    wholes)
  • When healthy, in the upward direction with
    average flexibility
  • The inter-level gaps resemble the boundaries/
    risks that should be individually taken-over to
    move to the above level.
  • This triggers specific defense mechanisms
    corresponding to each gap.
  • As movement proceeds upwards, passed levels get
    integrated forming at the end an overall whole
    that differs qualitatively from its constituents
    (fig at last slide).

35
G- Transition from one level to another
  • It includes un-folding of all previous levels of
    awareness (with all of their experiences,
    visions, crises) and their refolding in a newly
    integrated way.

36
  • As far as deeper levels of awareness are reached
    and activated, the personal awareness begins
    gradually to join the collective unconsciousness,
    the whole universe and God.

37
Collective Unconsciousness
Personal Awareness
Universe
38
  • Dr. Mohammad Shafii writes in the Sufism
    journal The Sufis feel that it is an illusion
    to see human beings as different and separate
    from nature and the universe .
  • The journey of Sufism is a return to the origin.
    A return to the level of knowledge that existed
    before physical form was manifested and still
    exists beyond the physical realms

39
H- Defense mechanisms
  • Surface (stereotypy)

Neurotic defenses
Intellectualization, reaction formation
2. Reactive (alternatives) 3. Deep Reactive
(large ineffective awareness)
Immature defenses
Passive aggression, acting out
4. Potentialized (Effective awareness) 5. Deep
Potential (connectedness)
Mature defenses (if tolerated associated vision
and experience)
Psychotic defenses (if not)
Altruism, humor, suppression, sublimation
projection, distortion
6. Spiritual 7. Deep Spiritual
40
I- Dreams
  • During sleep, Defense mechanisms are minimal.
    Deeper levels of awareness are reached and
    activated till getting so close to the collective
    unconsciousness. Dreams largely import their
    content from materials and symbols derived from
    this holistic man-kind experience.

41
J- Relation to Erickson's stages of life
7. Integrity vs Despair
Growth
7. Deep Spiritual (wisdom)
6. Generativity vs Self absorption
6. Spiritual (meaning of life, death love)
5. Intimacy vs Isolation
5. Deep Potential (connectedness)
4. Identity vs role confusion
4. Potentialized (effective awareness)
4. Industry vs Inferiority
3. Deep Reactive (ineffective awareness)
3. Initiative vs guilt
2. Reactive (alternatives)
2. Autonomy vs Shame and Doubt
  • Surface (Freezing due to mistrust of world)
  • Trust vs Mistrust

42
K- Relation to Maslows hierarchy of needs
Every level of awareness is characterized by
having its corresponding needs profile in order
to activate its whole range of potentials
Self-actualization personal growth and
fulfillment
7. Deep Spiritual (wisdom)
Aesthetic needs beauty, balance, form, etc
6. Spiritual (meaning of life, death love)
Cognitive needs knowledge, meaning,
self-awareness
5. Deep Potential (creative problem solving)
Esteem needs achievement, status,
responsibility, reputation
4. Potentialized (effective awareness)
Belongingness and Love needs family, affection,
relationships, work group, etc
3. Deep Reactive (ineffective awareness)
2. Reactive
Safety needs protection, security, order, law,
limits, stability, etc
Biological and Physiological needs basic life
needs - air, food, drink, shelter, warmth, sex,
sleep, etc.
  • Surface

43
L- Mind States
  • Based on the levels of awareness, we can
    differentiate seven states of mind.
  • Each has its extension of awareness, depth of
    awareness, unique cognitive scheme, predominant
    dynamic profile, predominant needs profile,
    specific growth-crisis, specific relational theme
    (self, others, God), special defensive style and
    certain momentum of efficacy (gradually
    increasing)
  • Inter-level relations exist through variable
    degrees of flexible movement and crossing the
    in-between membranes.

44
  • Membrane Disorders
  • Membrane Sclerosis
  • Membrane Perforation
  • Membrane Transparency
  • Membrane loss
  • Movement Disorders Normally average flexibility
    and speed
  • Disorders of flexibility
  • Disorders of speed

45
M- Psychiatric Disorders.. reviewed
Psychosis - Disintegration due to intolerance of
the vision and experience of the deeper levels
when activated
Depression Stagnation due to intolerance of the
vision and experience of the superficial levels
(1-3) when activated. - Increased awareness and
insight without corresponding efficacy
Mania Agitation due to intolerance of the
vision and experience of the intermediate levels
(4-5) when activated . - Increased awareness and
insight with some ecstasy and bizarre spiritual
experiences
Dissociation Highly permeable membranes
46
N- Creativity
  • Highly flexible movement with considerable speed
    between different activated levels of awareness
  • Ability to re-integrate and re-organize
    experiences into new wholes
  • Risk of inability to re-integrate (psychosis)
  • Three variants
  • Creativity that mainly affects creative
    product(????? ?????)
  • Creativity that mainly affect creative
    individual(???????)
  • Creativity that affects both (?????? ??????)

47
O- Hemispheric Functioning
Active (Effective) awareness 4. Potentialized 5.
Deep Potential 6. Spiritual 7. Deep Spiritual
Right Hemisphere 1. intuition 2. free
3. mystical 4. creative 5. pattern
seeker 6. playful
Left Hemisphere 1. intellect 2. directed
3. logical 4. mathematical 5. Pattern
user 6. rigid
Inactive awareness 1. Surface 2. Reactive 3. Deep
Reactive
  • As movement proceeds, passed levels get
    integrated forming at the end an overall whole
    that differs qualitatively from its constituents
    (integrating both hemispheric functions).

48
P- Our Group Psychotherapy Model
  • Whole Groups levels of awareness
  • Hierarchy of used gestalt games and
    correspondence to levels of awareness (next slide)

49
1- ??? ?????....?????..... I need.in order
to ?? ???? ????? ???????? ???? ?? ????? ???
??????? ?????? ????? ??????? ???????? ????????
  • Surface (stereotypy)

2. Reactive (alternatives) 3. Deep Reactive
(large ineffective awareness)
2- ??? ????....?? ???? ???? ...I want but Im
afraid of ?? ???? ???? ??????? ???? ???? ??????
??? ?????? ???? ???????? ?????? ????? ?????
??????? ??? ??????
4. Potentialized (Effective awareness) 5. Deep
Potential (connectedness)
3- ?? ???...??? ??/ ?????? ?? ....Its my right
to.even if ?? ???? ??????? ?? ???? ?? ?????
??????? ????? ?????? ???? ???? ???? ???????? ??
????? ???????? ??? ???
6. Spiritual 7. Deep Spiritual
4- ??? ????.....?????? ?? ????? I decideand I
take responsibility ?? ???? ?????? ?????????? ???
???? ?? ???? ???? ???????? ?????? ????????? ??????
50
-??? ????? ????? ???? (???)
?????? ??????? ??????......?????....
51
Collective Unconsciousness
Personal Awareness
Universe
52
????? ???
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