symptoms and causes in fact go back to one initial conflict, one of five possible cases.
So the initial psychological problem can be presented in one if the five schemes given below [see Fig. 2]. On all schemes the circle means some object desired or rejected by the individual, vertical rectangle is the barrier and the arrow – either the desire of the individual or negative pressure from the object on the subject [which may be called a negative desire of the subject].
The schemes given in Figure 2 show the possible types of the initial problem structure:
A. the feeling is aimed at reaching the aim, the aim and the barrier may be real or imagined, the aim may be really or illusively unreachable, or it may be forbidden;
B. the feeling is aimed at saving from undesirable object, the object may be both real and imagined, it may also be external in relation to the object [for example, an aggressor] or internal [for example, some unpleasant memories; simultaneously with repulsion the object be attracted by an unconscious feeling [“an invisible paw”];
C. the subject has ambivalent feelings about the same object, here is no barrier but the subject has contradictory feelings of repulsion and attraction;
D. two feelings of the same strength are experienced towards incompatible objects [the problem of choice];
E. the subject seeks to get rid of an undesirable object, but he can do it only in contact with another undesirable object [the choice between the two evils].
Fig.2
In all the above given cases we used the word “object” and the object can be not only some thing or another person but some activity, situation, moral assessment, emotional state and so on, which are desirable or on the contrary unacceptable to the subject.
These schemes reflect only initial [primary] problem structure. Further on the problem develops and grows, generating numerous symptoms, creating new difficulties, revealing themselves in different spheres of the person’s life.
Let us give some examples of frequently occurring [but not all possible] problems that we will classify according to their inner structure.
The following psychological problems have type one structure [Fig. 2a]
2. grief, bereavement, unfortunate love and so on.;
3. the desire to change the past, to correct what is impossible to correct, to return “last year’s snow”;
4. morally prohibited sexual, aggressive and other desires;
5.the desire to change other people according to your own standards which is impossible;
6.idealistic, fantastic, exaggerated desires.
Other variants are possible.
The following psychological problems have the structure of the second type:
1. the desire to get rid of the undesirable influence of the environment or other people, who are impossible to get rid of or there is a psychological prohibition to do it;
2. obsessive fears, fixed ideas, obsessive actions and the struggle with them;
3. guilt feelings for something done, suicidal tendencies, anxiety about some past shame, disgrace etcetera;
4. post-tress experience [as a result of an attack, catastrophe, terrorist act, rape etcetera;
5. the desire to get rid of some shortcomings in accordance with some unrealized principles or standards;
6. the struggle with one’s own dependence of various types [emotional, alcohol, narcotic and so on] In other words the second type problem may be based on the first type problem formed before;
7. the denial of oneself.
Other variants are also possible.
In a particular case the second type problem may lead to a vicious circle when the struggle with a symptom or persistent desire strengthens the symptom which gives rise to another round of struggle, etcetera. This circle model was described by L [68] before. This is how some phobias or obtrusiveness, panic attacks can be formed.
Scheme three [Fic. 2c] reflects the problem of ambivalence [that is the simultaneous attraction to the object and its rejection]:
1. love to the hated, despised and repulsive object;
2. the desire to get success, to reach the aim and the fear of success;
3. gratitude and humiliation, admiration and envy, joy and grief, pleasure and fear at the same time and so on;
4. the desire to do and not to do something, to say and not to say, to express feelings and to hide them etcetera;
5. the desire to win over the opponent and the fear of him;
6. the desire for some risk, for suicide, and at the same time unwillingness.
And others…
Scheme four [Fig. 2d] corresponds to the problem of choice:
1. the desire to have two incompatible variants at the same time not to lose either;
2. the choice between the two equally desirable variants;
3. the person’s immaturity his inability to make a choice and take the responsibility, the fear to make a mistake, indecisiveness;
4. a risky choice, determining the fate, winning or losing;
5. constant rushing from one variant to another, hesitation between hope and despair etcetera;
And others…
Scheme five [Fig. 2e] corresponds to the situation when there is no choice, when all variants are bad. For example, life situation is unbearable, so unbearable that you want to escape from it, but if you do it the situation will be still worse. This corresponds to Joe Biden’s model of double clamp [26]:
1. the subject lives with an unbearable person, for example, with a home tyrant, a psychopath, or a criminal but is dependent on him;
2. social disadaptation that leads to autism or a bum’s way of life;
3. moral choice between crime and death and so on;
4. the loss of prestige, bankruptcy, another event that has led to subjectively an unbearable situation, but any way out threatens even greater losses;
5. the choice between suicide and disgrace, giving way to violence and deathly risk and so on;
6. the choice between the husband who is not loved and a beloved person with whom it is impossible to live together for financial reasons etcetera.
And others…
In every case the task of psychotherapy is to help the client to change himself and not to help him change the surrounding reality, to solve the problem resorting to subjective, inner but not outer changes.
