For clinicians and practitioners

Clinical Essays

Thirteen essays on where the common kinds of therapy meet a self guided path, and where they do not

Each essay begins in a room a clinician will recognize and takes one modality at a time. They describe a proposed integration, offered by The Autonomy Commission, that is not a manualized protocol and has not been empirically evaluated. The Path to Freedom is not psychotherapy, and every clinical decision rests with the treating clinician.

Essay 1

Two Kinds of Work, One Client

Where a clinician's treatment ends and a self guided path begins

A client in treatment begins a self guided path. How a clinician can hold the division of labor, the consent, and the handoff between the two kinds of work.

One page brief (PDF)

Essay 2

Whose Belief Is It

Cognitive behavioral therapy, and the question the thought record leaves blank

CBT tests a belief for accuracy and cost. The Path to Freedom asks who wrote it and when. How the two questions fit in one client's week.

One page brief (PDF)

Essay 3

What Stability Is For

Dialectical behavior therapy, and the work that waits on it

DBT builds stability first and addresses meaning in its later stages. Where a self guided identity path can follow, and where its stance on distraction needs care.

One page brief (PDF)

Essay 4

The Observer and the Witness

Acceptance and commitment therapy, and two ways of standing back

ACT's self as context and the path's witness share a posture. Values, chosen or discovered, are where the frameworks part, and the difference can be used.

One page brief (PDF)

Essay 5

The Identity Around the Event

EMDR, and what forms around a memory while the memory is being reprocessed

EMDR reprocesses the memory. The Path to Freedom examines the identity built around it. Sequencing, consent, and what stays outside the target.

One page brief (PDF)

Essay 6

The Mask and the False Self

Psychodynamic therapy, defense, and a kinship worth stating carefully

Winnicott's false self and the path's masks resemble each other in function. What psychodynamic clinicians should know about the pairing and the analytic frame.

One page brief (PDF)

Essay 7

Conditions of Worth

Person centered therapy, and the rules a person keeps without remembering the contract

Rogers located distress in conditions of worth and incongruence. The path names the same terrain as invisible contracts. Where the pairing is closest, and where it strains.

One page brief (PDF)

Essay 8

The Person in the System

Couples and family therapy, differentiation, and what happens when one member changes

Individual change perturbs a couple or family. How a systems therapist can use a self guided path, and what must be screened for first.

One page brief (PDF)

Essay 9

The Window and the Question

Somatic therapy, arousal, and how much reflection a nervous system can hold

Reflection is most useful inside a person's window of tolerance. How a somatic clinician can time and limit a self guided identity path.

One page brief (PDF)

Essay 10

Two Maps of Nearby Ground

Internal Family Systems and the path, and why the vocabularies should stay apart

IFS describes parts within a person; the path describes layers built around her. Where the maps overlap, where they differ, and how to keep a client from blending them.

One page brief (PDF)

Essay 11

Eight Cs and Six

Two lists that share four words, and what each list is for

IFS names eight qualities of Self that begin with C, and the Commission names a Six C progression. The overlap and the differences in kind.

One page brief (PDF)

Essay 12

Discovered or Authored

Narrative therapy and the one premise on which it and the path disagree

Narrative therapy treats identity as authored; the path treats it as recognized. How the pairing works when both parties are honest about the difference.

One page brief (PDF)

Essay 13

When the Path Hands the Client Back

The signs, the language, and the floor

Reflection can stir what needs clinical care. The signs that mean a client should return to her clinician, how the handoff is worded, and why the path stops when someone is on the floor.

One page brief (PDF)