Professional Documents
Culture Documents
Islamic Counseling
Notes by Ismail Kamdar
Module 1:
Terms to qualify:
Psychiatrist Medical expert who offer medical solutions to psychological issues (Medical
degree)
Psychologist PhD or PsyD in psychology (PhD more research, PsyD clinical) offer
psychotherapy
Social Worker Social training, usually have Masters (every society have their own requirements
for this job)
Neuropsychologist Went further than PhD and studied the brain in a lot more details, work
towards optimal usage of the brain
Psychotherapist usually has a Masters in psychology or counseling
Counselor same as psychotherapist
All of the above can do diagnosis of social disorders
Psychotherapy is something done by all of the above
Surah Tawba 10:71 believers are awliya of each other, enjoined right and forbid evil
The religion is Naseeha (good advice) Authentic Hadith advice people to help them fulfill
their potential
We also need to recognize our limitations and work with what we do know
Ask those who know, if you dont know, Quran
We want to facilitate behavior change, experiential change from a spiritual, psychological and
intellectual perspective, we want to educate them
A mode of intervening so to shift human functioning back into the range of normality or
psychological health We want to bring people who have mental issues to come back to
thinking normally
Mental illness anything which negatively affects social, occupational or family life outside the
range of normality
Mental illness has a stigma due to movies, etc which is greatly exaggerated
Mental illness is measured by cut off points from normality and is determined by having a
certain number of symptoms
The role of the counselor is to effectively diagnose the problem and then effectively intervene
Who defines psychopathology? Who decides what sickness is and what is not? Most definitions
are by Western scholars (eg: DSM) so cant just take them, need to critically think about them
Example: If someone is successful in Dunya but doesnt pray, Westerners will say he is okay,
Muslims believe he has a problem
DSM is primary mode of defining mental illness, via research and statistics
After you have effectively identified a problem, the next step is to understand the extent of that
disorder and its manifestation
Focus of course how to conceptualize psychopathology and what is the mechanism of change?
Not a in-depth course on intervention just an introduction level course
Different theories offer different perspectives on these issues
Will touch upon certain strategies and methods of intervention which Imams, etc need to use
for counseling
Focus is on UNDERSTANDING psychopathology
DSM identifies sickness but we will study what causes mental illnesses
How do we conceptualize and understand humans and human behavior?
It is the Sunnah of Allah that certain things cause certain effects what behavior causes which
mental reactions will be studied
Only when we understand people, can we make a plan to treat and help them
In order to do psychotherapy one must be licensed minimum Masters
Counselors are bound by legal ethics and ethics of membership body (eg: ACA, APA)
Credited counselors required clinical experience under supervision
Professional Counseling CAN NOT be perform with a BA
This course will help us in our personal lives and with counseling situations that pop up for
Imams, etc
one can only take a person as far as they have gone themselves (you can help people with
something you yourself have problems with)
Personality affects your method of counseling (passive people or leadership people) different
personalities suit different clients
Acquisition of skills is essential for being a good counselor, especially relationship building skills
Self-awareness is crucial for competency
Psychology teaches that the client chooses his own values, but if the client is Muslim then he
must follow Islamic values
(fine line between using Deen to help a client and using it to prove a point)
We are not suppose to force people to believe what we believe to be right
Psychology says you much respect other peoples values, but as Muslims we cant always do
that if they are involved in sin, eg: counseling a Zaani
Goals of Class:
Encourage critical thinking in the area of counseling in light of Quran and Sunnah
Introduce western theories of counseling through an Islamic filter
Introduce Islamic Ideas of counseling and synthesize them with western approaches
Transfer theory into practical application (both personally and communally)
Understand the components that contribute to psychopathology and health
Stages of Counseling:
Building a relationship
Diagnosis and Assessment
Formulation of Goals
Intervention and problem solving
Termination and follow up
Confidentiality
Using the client to solve YOUR problems
Multiple roles, eg: counseling relatives
Introspection:
Process is method of solving the problem, content is the subject of the problem
Therapy process how you intervene to help a person come to a place of healing
Focus on the initial processes of therapy (generic ideas, not linked to specific theories)
The practitioners role in helping guide the process of becoming actualized and this includes a
willingness to introspect oneself
Help people think in themselves and sort out their problems (why cant I wake up for Fajr, why
cant I lower my gaze)
the one who knows themselves can come to know Allah,
Intake need to understand the persons background (culture, deen, history, family, social
dynamics, etc)
You need to know someone before who can help them
First two sessions usually include a lot of writing and history taking
The client too gets to learn a bit about the counselor and his method
One MUST socialize with the client
Help clients get in touch with their thoughts which lead to their feelings
Make the client feel valued if you work with them and help them solve their own problems
Must get consent of your client (sign a consent form) for everything (fees, confidentiality, etc)
makes then realize how serious you are about helping them
MUST establish confidentiality meetings are a trust
MUST explain situations where you will HAVE to break confidentiality
Therapeutic Alliance
The challenge: gather all this data in a limited amount of time WHILE building a relationship
Must ease worries and discomfort of client
Want to instill HOPE in first session end first session with an Islamic story or verse/Hadith of
hope for their situation
Assessment is an ongoing process (keeping gaining more information and re-evaluating after
every session)
How to build this Client-centered approach of listening
Restate problems while showing empathy and understanding
At end of intake offer some recommendations (together) as to how you may approach the
problem
The prophet (pbuh) would receive people warmly, welcome them and let them be comfortably
seated. He would shake their hands. He would face the person, showing active listening, while
making the person feel important
Need to get Muslims to understand that nothing wrong with psychologist approaches which do
not contradict Shariah
Many Muslims are unaware of the rich legacy of their ancestors whose contributions to modern
psychology are re-emerging today.
Unfortunately many Muslim psychologists advocate Unislamic theories over Islamic method
Ethical considerations:
Power difference you have power and authority to shape peoples lives, this is a great
responsibility
Khalwa dont be alone with women because counseling is a close relationship and dont want
to be close and alone with a woman
Women should come in with a mahram or have someone else with youll
Sometimes a sickness in their Aqeedah, Fiqh, etc can cause other problems in the
worldly life
Poor development and formation of schemas that are incorrect
Effects of names and labels these are self-fulfilling prophecy, they also affect
upbringing of children (calling our child good or bad)
Everybody has some spiritual sickness, but some are more sick than others
Nobody is perfect (healthy)
Continuum of mental health fluctuation between sickness and health, imaan and low
imaan
Islam is more rigid in that, besides working on our dunya, we need to work on our
spiritual life as well
Islams definition is different from the DSM, in that we work towards actualizing our
spiritual self
Eg: Excessive Love is dangerous in Islam, but encouraged in West
Islam is a communal religion, we are required to do things to maintain community unity
Islam is not a selfish religion, need to be selfless, giving to community
All of this promotes spiritual and psychological well-being because humans are social
beings by nature
Islam teaches us suppression of the ego (nafs) and to attain humility
Module 4:
Difference between counselors and Islamic scholars
People want to know why should I go to a counselor if I have an alim, some people think
opposite to this
Where does one role end and the other begin?
Because both roles intend to help spark change, towards spiritual perfection
Both have different methods of intervening (one deals with mental health interventions, the
other with spiritual interventions)
Act as a reminder, a peer and an outlet towards aiding the client on getting that to norms and
traditions
Help people become self-aware examine themselves
This is an on-going thing
A counselor relies on research of behavioral science (more understanding of human nature and
how to deal with it than scholars)
Introduces religious concepts as suggestions, rather than instructions
A directive approach may be useful as most Muslims expect direct advice, but counseling is
about empowering people to make their own decisions and teach them concepts to help
themselves (need to keep in mind both the expectations of the client and the general approach
of counselors) be directive yet inspire introspection
Responsibility of the counselor not to use theories and methods which go against Islam, we
need to research what is in keeping with Islamic teachings and what is not
Need to think a framework of Islamic counseling which works for clients
Boundaries of the counselor need to refer to scholars to check what they are prescribing is
authentic and correct
Counselors should work hand in hand with scholars
Fiqh issues (especially in dealing with marriage issues) MUST be sought from scholars
Must have a good relationship with competent clinicians, this can be very beneficial
For a scholar to handle issues which should be handled by counselors can have very negative
effects
Evidence suggests that Islamic traditional healing models are best utilized for less severe
disorders
An alcoholic can die if he just gives up without weaning himself off
After 9/11, there has an increase in seeking out Imams to address mental health issues but few
of these Imams have formal training in mental health and this could lead to negative results
Imams must have some knowledge of psychopathology and know their limits
Best solutions is setting up centers were counselors and scholars can work hand in hand
Recommendations
Islamic counseling helps because it focuses on the heart and soul as well
Research indicates that religious people live longer
Quran full of stories to assist in coping
Muslims live a collective lifestyle which assists
The Sunnah provides many healing techniques, including duas and advice
Islam teaches things like sabr, tawakul, istihkara and acceptance of Qadar
Cognitive Dissonance
When your belief does not transfer into actions, it causes stress, guilt, worry, etc, eg: people
who believe in five daily prayers but dont do it feel stress and guilt
Actualizing tendency
Counselors have more time for clients while Islamic scholars dont
Counselors are professionally trained and can assist you in that way
We need a holistic approach wherein counselors and scholars work together
There is a lot of stigma attached to counseling (only for crazy people, etc)
Khalwa Issue
Spirituality
Confidentiality
Module 5:
Diagnostic Considerations and the applicability of the DSM:
Interpretation of Data:
Utility of diagnosis
Benefits of Diagnosis Helps to put a name to something, which can read to treatment and
conceptualization. Common name to identify things and research
Harms Put the client in a box, may be wrong
Module 6:
Research the resources and assessment tools available for Muslims.
Become familiar with how to acquire journals sign up for a few
When reading journals, skim through technical stuff, leave that for higher level of studies
Introductions are good as they include other resources
Read the abstract to see if a paper is worth reading
Method section can be very technical, introduction and discussion is enough for basic reading.
Obtain questionnaires from appendices of such papers
Keep your assessment tools in a binder
No video
Module 7:
Ancient Greece
Hypocrites
Dark Ages
5-15th Century
Intellectual darkness for Europe Rise of Christianity
Scientists were put on trial for ideas even though they were true, because they contradicted the
Bible
Christian psychology all mental illnesses were linked to possession or poor morals. Exorcism
was the only solution
They would look for witches, etc and burn them alive
While Europe was in the Dark Ages, the Muslim world (North Africa to the borders of China)
continuously advanced in their intellectual developments and pursuits. Height of development
of medicine and science
Some Muslims tried to fuse Greek Philosophy with Islam, were heavily influenced by Hippocratic
theory of four elements
Rise of Mutazilites when fusing Greek ideas with Islamic tradition
Contributed a lot to medicine wrote the Cannon of Medicine (still studied till today) based
on Hippocratic theory, developed it further and divided dietary treatment into hot and cold
Development of Tibb An-Nabawi
Ibn Taymiyyah proved how Aristotle logic can lead one astray in refuting Ghazali and Ibn Sina
Anything good that the ancient Greeks offered, which doesnt contradict Aqeedah and Shariah,
can be examined and used if proven true, Imam Ghazali apply same method to modern
psychology
Tibb is not necessary Islamic - it has Greek roots
Prevalence and acceptance of these ideas can even be seen among scholars even Ibn Hajar
accepted these as the principles of medicine
Importance to distinguish between Tibb An-Nabawi and cultural tibb in the Muslim world
Renaissance
Enlightenment
Freud was the founder of psychoanalysis, came up with the idea of the talking cure
Then behaviorism came about and dealt only with behavior, excluding the mind
Module 8:
Freud and the psychoanalytic tradition:
Sigmund Freud . M.D. - father of psychotherapy among first to develop talking cure
Conception from study of hysteria and hypnosis
Derived his work based on clinical therapy with his patients as well as self-analysis
Pleasure principle human motivation is guided by the drive to seek pleasure (Nafsi)
Students include: Carl Jung, Alfred Adler, Harry stack, Theodore Reik, Melanie Klein and a few
others who broke off and developed their own theories, some survived, some did not
Many principles remained salient in offshoot theories
The unique pattern of thinking, feeling and acting by which each person reacts to the external
world
He called his theory and techniques psychoanalysis
Childhood sexuality and unconscious motivations influence personality
Every person is affected by their childhood experiences
Unconscious below the surface part of our mind which contains thoughts, wishes, feelings
and memories which we are unaware off
Free association patient is asked to relax and speak whatever comes o mind even if it seems
trivial
Mind is split into unconscious, preconscious and conscious
Personality structure split into ID, Ego and Superego
ID the pleasure principle which seeks immediate fulfillment Nafs
Superego our ideals and standards taught by society and parents and others
Ego Reality principle, between SE and ID, maintain desires without causing pain
Eg: Want to eat cake, ID wants to eat everything, Superego says dont eat anything unhealthy,
ego tells you to balance and compromise
Psychosexual stages oral (0-18 months), anal (18-36 months), phallic (3-6 years), latency (6 to
puberty), genital (puberty onwards)
In each stage, there is a struggle between ID and SE. If they get stuck in any of these stages, it
will affect their adulthood
Freud had problem of sexualizing every issue
Oedipus Complex a child has sexual feelings towards the opposite gender parent and feel
jealous of other parent. Later try to imitate parent to impress opposite gender parent. Also
discusses penis-envy (unscientific)
Identification process in which children incorporate their parents values into their developing
superegos
Fixation - a lingering focus of pleasure-seeking energies at an earlier psychosexual stage, where
conflicts were unresolved
Defense mechanisms: tactics that reduce or redirect anxiety in various ways but distort reality
If we have too much repressed then it affects us and counseling is needed. Excessive repression can lead
to physical sickness
To become a practitioner, one must complete a long training process of many years, which is
open only to MDs and PhDs
ID, Ego, Superego and intraphysic conflicts: psychological symptoms are self-defeating patterns
brought on by internal struggles
The past: Current problems stem from unresolved issues that occurred in early childhood
(over emphasis on the past)
Dreams gateway to the unconscious
Catharsis the release of pent-up emotion (counselor will tell you to say whatever comes to
mind)
Corrective Emotional Experience the therapist helps clients alter their self-perceptions and
behavior
(humans need closure to move on with their lives)
Treatment Considerations:
Therapy is long term and focuses on exploring unconscious issues through interpretation, dream
analysis, free association, transference and other method
Detachment the therapist is detached, objective and neutral, so that the client can project
onto the therapist things from the clients unconscious
Social Interest
A feeling of being part of social whole and wanting to contribute to the general social good
Express an interest in others and an interest in the interests of others
Differed with Freud in considering social factors
Emphasize the conscious as central to the development of the personality
Individuals strive to become successful
Order of birth:
Self-evaluation
Minimization of denial of ones worth thinking that one will never amount to anything
Faulty values believing in the necessity of being first no matter what needs to be done to
achieve that goal (ends justifies the means)
Misc
Practice
Self-Psychology:
Emphasis on relationship
Transference reaction is critical to understanding a person emotions clients invoke in you, they
could be doing the same to others
Presenting problem likely subset of a larger personality deficit
Importance of early developmental factors
Differences
Critical assumptions
Clinical phenomenon represent the effects of experiences which foster or interfere with the
achievement and maintenance of self-cohesion example of transference
Self is organizing principle of personality/behavior
Self disorders are common and have a considerable range of severity
The need to have your self mirrored
Dealt with a lot of narcissist people
Start off with a primitive sense of self that involves into increasingly mature versions of sense of
selfhood
Children start of thinking of themselves and nobody else, narcissistic people have similar
personality
Early self is very primitive, that has certain qualities like weakness, fragility, neediness, looks at
self in unrealistic way that is grandiose
This is NORMAL for a child that is why they always seek approval from parents which is very
important
Optimal frustration
There is an optimal level of frustration with having needs provided for and providing for
themselves
Only giving them attention, etc will make them too dependant
This gap is small that is encourages one to take over such for oneself the provision of self needs
rather than discouraging one.
Critical definitions
Transmuting internalizations:
If children are not mirrored, they change something in themselves (eg: lose self-esteem or
become independent faster) These changes can be good or bad
Gradually, overtime these TIs add up to one important aspect of a strong and cohesive self
Empathy:
Capacity to think and feel oneself into the inner life of another person
Lifelong ability to experience what another person experiences
If childs needs are met, they begin to think about the needs of others
Child begins to learn about empathy for others. In learning to care for others, the self interests
come to be balanced against concern for the welfare of others
Healthy narcissism appearance of a strong, vital, cohesive self striving with ambition and ideals
towards the full realization of a persons skills and talents
As child matures, realize more people out there. Available psychic energy gets direct at those
people and less on self. More completely this shift is made the healthier the person
In fully mature adult, a small amount of energy is still concerned with self-issues
Limitations of self-psychology
Module 10:
Existential Theory and Therapy
Questions central to existentialist theory
What is the meaning or purpose of your life? What is the source of that purpose
Focus on death and the meaning it gives to life
This is the closest from all the theories to a spiritual theory
Working through selflessness and feeling alone
The relationship between free will and determinism?
What is the utility of anxiety?
If you only had 30 days left, what would you do?
Existential Theory:
Important Figures:
Victor Frankl Jewish Nazi camp survivor, believed spiritual freedom and independence of mind
can be had in the worst of situations, essence lies in searching for meaning and purpose
Rollo May American Psychiatrist integrated psychoanalysis and existential therapy, had two
failed marriages, wrote extensively about intimacy, monogamy, morals. Studied with Adler
Irvin Yalom still alive, therapy through meaning, therapeutic love themes of existential work
Existentialism
Resistance occurs when a client does not take responsibility, is not aware of feelings, or
otherwise is inauthentic in dealing with life (rarely directed at therapist): a way of dealing with
overwhelming threats, inaccurate world view, inaccurate view of self
Transference important to note when clients attention focuses on the therapist, work to
make progress in the process of developing a real and authentic relationship
Capacity of self-awareness greater our awareness, greater our possibilities for freedom
Awareness is realizing: we are finite and time is limited, we have the potential, the choice to act
or not to act, meaning is not automatic, we must seek it (introspect), we are subject to
loneliness, meaninglessness, emptiness, guilt and isolation
Freedom and responsibility people are free to choose among alternative and have a large role
in shaping personal destinies, manner in which we live and what we become are result of our
choices, people must accept responsibility for directing their own lives
Normal anxiety (existential) proportionate to its cause, does not require repression, and can
be used constructively and confront the dilemma from which it arose
Such anxiety is good and motivates us to accomplish things
Eg: feeling anxiety before an exam motivates you to study well
Neurotic anxiety when a person tries to evade normal anxiety. It commonly manifests itself as
a loss of a subjective sense of free will and an inability to take responsibility for ones own life
Techniques Identifying instances when patient avoids responsibility, helping the patient to
consider options, make decisions, pointing out how grief reactions and sadness about lifes
milestones could be related to underlying fears of isolation and death.
Awareness of death
Inviting clients to recognize how they have allowed others to decide for them
Encouraging clients to take responsibility
Recognize ways clients passively accepted circumstances and surrendered control
although you have lived in a certain pattern, now that you recognize the price of some of your
ways, are you willing to consider creating new patterns,
Pros
Cons
Limitations
The theme of meaning is very important. Can use this question to explore core beliefs/thoughts
of individuals
Stresses the need to take personal responsibility
Salience of death is brought up, this diminishes immediate worries
Acceptance of anxiety
Module 11:
Client-centered personality theory
Actualizing Tendency:
Phenomenal Field - All experiences within a given moment both conscious and unconscious
Freud emphasized unconscious, Humanists believe in both
Focus on the self:
Definition: A portion of a persons phenomenal field with differentiates to become the self
An organized set of characteristics that the person perceives as unique to him/herself
It is our awareness of being, daily functioning, develops in relationships with others, primarily
formed through conditions of worth
Our self has a real-self and ideal self, the point of overlap is called congruence
Ideal self is what we want to be, real self is the person as he is know who wants to move
towards the ideal self
The further away your real self is from your ideal self, the more problems you have
In Islam, the ideal self is in living and following the Quran and Sunnah
To strive to have ones real self match ones ideal self
Tied to: the need for positive regard from others, for others to treat us and think of us as good
people, positive self-regard and self-esteem
Conditions of worth
When the worthiness or the positive regard of the individual is conditional as opposed to
unconditional
These interrupt the organismic valuing process and direct the person to take in the conditions or
desired behaviors through the development or adaptation of the other persons values, ideas,
behaviors and desires
The ideal human condition humans never attain this but feel good for being on this path
Open to experience life fully
Trusts his/herself
Able to live life to the fullest
Acts independently
Creative
Lives a rich and full life
Lives the good life (a process and direction
Islamic Considerations
Congruence between ideal self and real self and actualizing of self are goals of Islamic
perspective on optimal human functioning
Islam defines ideal self differently i.e. practicing Muslim
Islamic system based on Fitrah as opposed to phenomenological considerations which can lead
to deviations
Difference in what are the conditions of worth
This is primarily a western theory and focuses independence in an unhealthy manner
Module 12:
Non-directive client centered therapy:
Role of therapist
Non-directive
Creating the right atmosphere will allow clients to find their own solutions and help themselves
Like watering a plant, providing right conditions will help the self to grow
The therapist does not interfere with or direct the flow of the conversation
The client has complete freedom to talk about, or not talk about, whatever they choose
The client can go where they want and need to go
The client is the expert on their life and in charge, not the therapist
Very different from other approaches exact opposite
This is not a medical model client is not a patient
The therapist is not the expert on the clients life but offers various types of expertise
This therapy is focused on the client, not the therapist
Whatever the therapist does, it is with the client in mind
The therapist strives to understand the clients worldview or the clients frame of reference
People like to go to people who understand them, rather than to people who will give them
advice
We shouldnt jump to conclusions, interrupt peoples speech or listen partially
Client centered therapy is all about active listening
We are trying to understand the subjective point of view of the person, their personal world
view, their self-experiences and self-expressions/statements
It offers individual freedom
Each person is unique and different no diagnosis or assessments
Personal responsibility to change and improve
Understanding and providing empathy is therapy in of itself so there is no treatment beyond this
Empathy
to acceptantly understand the clients thoughts, feelings, behaviors, experiences, etc as if you
were them
This is done by offering reflections offering a summary of their experiences and its emotional
impact on them
When they say things like exactly, it means you understood and this prompts them to open up
more, speak more about the issue and think deeper about it
If you did not understand, they will correct you and that too will help you understand them
better so its a win/win situation you can also pick up from this their style of speech, etc
which you can use in reflections
If you say to them something that they havent said yet but were going to say and it is correct,
its helps them open up even more
CCT is all about providing empathy and reflections to help them work out their own problems,
and at times some suggestions
May ask open-ended questions but must limit them
CCT can even be done with family and friends who need to speak to someone and is very
beneficial for them, because they just want someone to understand them
Make it all about them, dont mention anything about yourself and your experiences
Congruence
Unconditional there are no conditions that the therapist places on the client in this
relationship
Positive the therapist cares about and likes the client as a human being
Regard The therapist thinks about the client
The therapist thinks about the client in a positive way without condition
This may be difficult but we have to look for the good in the client and focus on that
If a therapist is unconditional, then therapist does not judge what the client says or does
Judgments can be either positive or negative
Therapy suggestions
Absolutely essential to get within frame of reference of person major flaw of many Muslim
advisors today we jump to advise without understanding
You cant provide advice to someone who you dont understand well enough
Understanding does not mean agreement
Humans will not listen to advice from anyone except those who they feel understood by
After understanding, offer suggestions and empathetically attune towards Islamic ideals can be
instrumental
We need to understand their internal barriers that lead to their decisions
Friendships
Marriage (especially for men)
Family
Other personal relationships
People connect better with those who understand and dont judge them
Module 13:
Behavioral Therapy:
Revising Module 15 of Psychology 101 really helps understand this module best
In modern day, behavioral therapy in itself doesnt exist anymore, rather it is incorporated with
other therapies, especially cognitive therapy which his covered in the next module.
Behavioral Therapy came about in USA as a reaction to psychoanalytic theories due to the latter
not being scientifically measurable.
Behaviorists studied only behavior and that which they could see.
Learning the relatively permanent change in behavior brought about as a result of experience
or practice
Behaviorists recognize that learning is an internal event. However it is not recognized as learning
until it is displayed by overt behavior.
Extreme in favor of nurture over nature
The term learning theory is often associated with the behavioral view
Focus of this approach is on how the environment impacts overt behavior
Behaviorists dont consider biological or genetics in their analysis
This is represented by the stimulus-response paradigm. People are black boxes and we only
know what is going on inside by their behavior/responses.
The feedback loop which connects overt behavior to stimuli that activate the senses has been
studied extensively from this perspective.
Behaviorists are only interested in that aspect of feedback that connects directly to overt
behavior
They are not interested in the conscious decision of the individual to disrupt, modify or go
against the conditioning process i.e. they are not interested in the thinking, just the response
first type of learning to be discovered and studied under the behavioral module.
Established by Pavlov by studying behavior of dogs.
The called it responding learning.
Focuses on stimulus and response. It starts with a reflex which is caused by an event, eg:
blinking.
A stimulus will without learning elicit a response.
UCS > UCR.
NS does not elicit a response, this is called an orienting stimulus as it elicits an orienting
response
Through association, an NS can transform into a CS which elicits a CR.
In the area of classroom learning, Classical conditioning is seen primarily in the conditioning of
emotional behavior, things that make us happy, sad, angry, etc become associated with neutral
stimuli that gain our attention
This is often used in marketing psychology, eg: associating products with beautiful women in
adverts make people want to buy that product
Classroom example: games make children happy (UCS > UCR). Classrooms are NS. By playing
games in class, the classroom becomes a CS for happiness. Likewise is a teacher always talks
badly to a student (UCS>UCR), that student will begin to hate education (CS)
Eg: In some schools, by treating African American students like they are less intelligent, this led
to those students not performing well in school
For example, schools, classrooms and teachers are NS. Activities at school or in the classroom
elicit emotional responses and these responses are associated with the NS which becomes a CS.
If a child feels bad because of being treated badly in school, this will lead them to dislike school
In order to extinguish the associated response of feeling bad and thinking of school, the
connection between school and being harassed must be broken
Eg: Giving into tantrums leads to children thinking that crying gets them what they want
2. Operant/instrumental conditioning
Relaxation training
In treating anxiety
Carl Jung did not support the sexual theory, psychological changes associated with midlife
(midlife crisis), focused on the future as well as the past, he focused on the importance of
spirituality
Alfred Adler broke away from Freud, stressed subjective feelings, started individual psychology
and spoke about influence of society, stressed the importance of the future goals, discussed the
inferiority and superiority complexes, discussed the concept of birth positions (firstborn, etc),
linked happiness with social welfare.
Adlerian Therapy: focus on empathy, emphasis on family life, dreams, should ask open-ended
questions, confrontation, acting as if, catching oneself, ask the question, encouragement, goal
setting, sale awareness, and spitting in the soup
Existentialism discovering purpose of life, focus on death, acquiring responsibility,
transference, and resistance. Focus on anxiety being of two types, normal and neurotic anxiety
If someone has neurotic anxiety, there is an underlying fear that needs to discovered and dealt
with
Limitations meaning of life created by individual, individualistic, no principles, very vague
Self Psychology transference, empathy, childhood issues, relationships (instead of
psychosexual factors), primitive sense of self, mirroring (children need reassurance that they are
good), twinship (copying their heroes), idealization, transmuting internalizations, optimal
frustration
Role of therapist re-parenting, show empathy
Limitations very few techniques, abstract ideas, little attention to cultural factors, nondirective, does not focus on presenting problems
Client-centered therapy humanistic theories, focus on actualizing tendency, active listening,
divided self into real self and ideal self, congruence (overlap between real self and ideal self),
organismic valuing process, ideas of self-worth, reflections
Utility outside therapy friendships, marriage and other relationships active listening
Module 14:
Cognitive behavioral psychology:
Cognition
B Im stupid
C Depression
We must catch ourselves and check if our thoughts are rational
I absolutely must have sincere love and approval almost all the time from all significant people
in my life.
I must be thoroughly competent, adequate and achieving in all respects, or I must at least have
real competence or talent at something important, otherwise I am worthless.
People who harm me or do bad things are uniformly bad or wicked people, and I should severely
blame them for their sins and misdeeds.
When things dont go the way I want them to go, life is awful, terrible, horrible or catastrophic
Unhappiness is caused by external events over which I have almost no control. I also have little
ability to control my feelings or rid myself of feelings or depression and hostility.
Depression
It was originally developed for depressed people so he developed it by observing the dreams of
depressed people
Depressed people have a negative view of themselves, the world and the future
They have negative schemas through which they interpret all experiences
These negative schemas are always present, automatic and become activated with stressful
events
Person with negative schema involving rejection will become depressed when a partner leaves
him/her
Automatic thoughts are usually caused by conditioned thoughts and core beliefs, need to
identify and work on these
Therapist and client work together to test the logic and consistency of each negative thought
Behavioral Component
Identified as a well established treatment for unipolar depression stronger and more lasting
than medication
As effective alternate forms of treatment for depression including antidepressant medication
However 2/3 of patients who receive cognitive therapy have another episode of depression
within two years
Sometimes you have to undo an entire history of wrong beliefs and this takes time
Islamic considerations:
Module 15:
CBT Techniques:
One should keep in mind, knowledge of healthy thoughts and feelings in case of unexpected
emotional outbursts
Change the way clients think by using their automatic thoughts and schema restructuring
Deactivate negative thoughts, modify their content and construct more adaptive thoughts
Gather and weigh the evidence
Discriminate between thoughts and reality
Behave in a way that is congruent with healthier, realistic ways of thinking
Healthy thinking - thinking like a Muslim
Types of distortions:
Arbitrary inference drawing conclusions in the absence of supporting evidence, eg: once he
sees the real me, hell divorce me, (not based on anything real, rather poor self-esteem)
Selective abstraction you dwell on the negatives and ignore the positives. Negative attribution
bias, eg: although you got an A for one subject, dwelling on the C for the other subject - Always
sandwich criticism between praises
Overgeneralization making a negative generalization based on specific events, eg: because I
did poorly on my first test, I would not be a good counselor,
Magnification/Minimization perceiving something as far more or far less than it is, eg: If I
dont find a good gift for Eid, she will dislike me,
Personalization making an external event personal, eg: because she did not show up for a
session, I must be a bad counselor,
Labeling/Mislabeling defining ones identity based on mistakes, eg, since he divorced me,
there must be something wrong with me,
Polarization all or nothing thinking, black or white thinking eg: people are either selfish or
caring. If she does not help me out, she must be selfish,
Mind-reading thinking too much about what others think of you
focus on pleasing Allah, not on pleasing people, focus on what will Allah think of me
CBT Techniques
Socratic Dialogue asking a lot of questions that led people to developing insights on their own
(example in slideshow)
Dysfunctional Thought record method to assess clients thoughts, feelings and behaviors
outside of therapy (example in textbook)
Hypothesis testing challenge the evidence
Decatastrophizing when people over generalize or magnify a situation, show them they are
exaggerating, can use the what if strategy
Decentering, eg: from I am an idiot and failure to I made mistakes but am capable to do
better,
Reframing showing an alternative perspective
Homework giving them something to practice or do or write
Scaling cure for all or nothing thinking, to weigh things on a scale
Islamic Strategies:
Module 17:
Solution focused therapy
Basic philosophy
Solution Focused
If it aint broke, dont fix it (dont change something that is working for someone)
Once you know what works, do it more
If it doesnt work, do something different
Acknowledge distress show empathy, understand them
Focus on success
Basic Assumptions
Milton Erickson
Client centred
Permission give clients permission or who they are
Validation any response or behavior is valid (Not according to Islam, we understand their
behavior, but not validate Haraam behavior)
Observation
Utilisation make use of what clients bring
3 types of clients
Visitors no complaints, along for the ride, complimented and given no tasks
Complainants going along to placate and appease, complain, distant, observant and expectant
given observational and thinking tasks
Customers do something want to change, given behavioral tasks
Clients Goals
Interviewing Ideas
Past successes
Pre-session changes
Exceptions
Miracle question
Scaling questions
Coping questions
Reframing
Session Structure
Subsequent sessions
Questioning
Be respectfully curious
Ask questions as part of a conversation
Not asked as a list of question
Questions are the main intervention, not to gather information
Constructive questions generate new experience about possible solutions, client strengths and
capabilities
Problem focused question: how long have you been depressed?
Solution focused: What would life be like if you werent depressed
Types of questions
Identifying Goals:
Miracle Questions:
Dr Jonathan E Adler What would be different if all your problems were solved? miracle
question
Ericksons crystal ball he asked clients to look into the future and see themselves as they
wanted to be, problems solved, and then to explain what had happened to cause this change to
come about.
He also used technique whereby he asked them to think of a date in the future, then worked
backwards, asking them what had happened at various points on the way
Other types of miracle questions: OHanlons videotape question, De Shazers miracle question
What difference would you and others notice
What are the first things you notice
Has any of this ever happened before
Would it help to recreate any of these miracles
What would need to happen to do this?
Assessment Questions
Coping Questions
Scaling questions
One a scale of one to ten 1 being worst, 10 being after the miracle has happened
Where are you now?
Where to you need to be?
What will help you move up one point?
How can you keep yourself at that point?
On scale of 1-10 regarding achieving goals, where would you place yourself now?
On scale 1-10, where would you place yourself today?
What makes you think you got that far?
What things have you done already that got you to this point?
What do you think will move you one step further?
What would be the first sign that you had moved one point further?
Who would be the first to notice the change?
Exception questions:
Tell me the times when the complaint doesnt occur or occurs less than othertimes
When does your partner listen to you?
Tell me about the days when you wake up more full of life?
When are the times you managed to get everything done at work?
Variations: When are the times when you came closest to? When did you last wake up feeling
quite good? Etc
Module 18:
Post-modernist theories continued:
Humanistic theory and solution focused therapy are both post modernistic theories
Positive Psychology:
Positive emotions
Happiness
Satisfaction with life
Optimism and hope
Sources of energy and confidence
Before WW2, psychology had better balance and focused on treating mental illness, burturing
genius and talent, studying normal life and happiness, importance of relationships and group
memberships, leadership styles
After the war, the focus became treatment orientated, soldiers were returning combat fatigue
and PTSD, money went into developing new treatments and dealing with depression and
psychosis, in 1955 drugs were introduced
After war, more focus on helping children with developmental disabilities
Gifted programs were not funded - Exceptional children are on both ends of the spectrum,
genius and talents needs to be nurtured
Positive psychology wants to expand efforts to eliminate social problems such as drug abuse,
criminal behavior and mental illness, studies the protective factors as well as risk factors, focus
on positive emotions and traits that be used to combat problems
Islamically humans are seen as good natured (Fitrah) but struggle against their nafs and
shaytaan
Maslows theory
Positive instincts to fulfill human potential and a strong motivating force to do good
Be the best that they can be
Self-actualization
Client-centered therapy
Non-scientific
Philosophy rather than psychology
Need evidence to support beliefs
Practical applications
Assume that realities are socially constructed, there is no absolute reality Muslims disagree
with that
View people are healthy, competent, resourceful, and have the ability to construct solutions and
alternative stories to enhance their lives
Help clients recognize their competencies and build on their potential, strengths and resources
Even though we disagree with their view on human nature, can benefit from their techniques
Therapeutic process
Investigate how the problem has been disrupting or dominating the person
Search for exceptions to the problem
Ask clients to speculate about what kind of future they could expect from the competent person
that is emerging
Create an audience to support the new story
Therapeutic Goals Therapists invite clients to describe their experience in new language and
facilitate the discovery or creation of new options that are unique to them
Example: treating students like they are dumb makes them perform badly in academics, treating
students as intelligent improves their performance
Therapeutic relationship
Therapeutic Techniques
Externalizing questions:
Additional techniques
Contributions fits with diverse worldview, clients provide their own interpretations of life
events
Limitations diverse clients may expect therapists as a expert instead of client-as-expert
Contributions:
Client-as-expert
View people as competent and able to create solutions and alternative stories
Do not support the DSM labeling system
A brief approach is good for managed care
Studies provided preliminary support for the efficacy of solution focused brief therapy
Module 19:
Integrative Behavioral Couples therapy (IBCT)
Previously, couples therapy focused more on problem solving which led to blaming, IBCT is less
directive
Goals of IBCT
Improving communication slow it down, help understand each others perspective, give
couples a forum to communicate while the therapist facilitates the communication (many
couple problem is misunderstanding or misinterpreting the other spouse)
Increasing intimacy over a time, poor communication erodes positive energy and this leads to
loss of respect, dislike and falling out of love which leads to lack of intimacy
Accepting and understanding differences empathy two people coming from different
backgrounds will definitely have differences, understand the others perspective
Conceptualization
The theme is a description of the couples primary overriding conflict, such as: closeness vs
distance, bilateral power vs unilateral power, family oriented vs individual oriented
Polarization process
Describes the interactions that occur the patterns of their thoughts, words and actions that
arise in their conflicts (can think of this as the situation, beliefs and reactions)
Mutual Trap
This is the experience of the unsatisfactory and unhelpful outcome of the conflict that leaves
each person feeling stuck or trapped and unable to resolve the conflict. Hence, a cycle of
repetition of the conflict. (they dont realize what is causing the conflict)
IBCT Intervention
Module 20:
Marital Therapy with Muslim Clients:
Pre-marital considerations divorce statistics among Muslims in the west is slightly less but
similar to normative population
Dilemma over arranged vs arranged marriages and an ability to reconcile between the two
Lots of problems for young married couples
50% of marriages end in divorce
25% of marriages which take place before age 25 actually survive
Major problem is in choice of spouse and how to choose the right spouse
Traditional Muslims want arranged marriage, modern Muslims wants choice and pre-marital
relationships
First generation participants had a higher marriage rate, were more likely to be married within
the same generational level and same ethnicity, and the lowest percentage of marital age gap of
less than 5 years
Marriage between immigrants and western Muslims leads to culture clashes
Cohabitation prior to marriage fairs worse for the success of a marriage
Arranged marriages seem to yield higher in their scores of love in the long term than choice
marriages
Some studies find no difference between the two
These statistics help in dealing with youth who believe in marriage based on love
Asian American Indians report higher levels of marital satisfaction then both Asian Indians and
Americans
Asian American youth tend to co-operate and consider their families views while demanding
more autonomy than they are afforded. This results in the re-creation of their culture leading to
positive marital satisfaction rates. (balanced between the forced marriage on Indians and
freedom of Americans, combines the good of both)
Two stages of love passionate and companionship love. Love before marriage is passionate
and clouds our decision making processes. There are many goals and values that need to be
worked out before marriage which people in love overlook
We need to find someone similar to us, the more similar the better chance of the marriage
working
Marital Satisfaction among women who harbor values of traditional marital roles are resistant to
the dip in marital satisfaction that takes place among women who hold egalitarian views about
marriage after the birth of the first child
In the West, marriage tends to take a dip after the birth of the first child due to the womens
belief that the man needs to equally look after the child as they do
A Balanced Appraoch
Module 21:
Marital Therapy:
Education about the counseling process many Muslims dont understand what a counselor does
Normalizing counseling it isnt abnormal or bad to go for counseling, there is nothing wrong
with you for going for counseling, your marriage isnt the worst, many others go through similar
experience, today a happy marriage is the exception to the rule, rather than the norm
Not arbitration like a lawyer counselor doesnt give fatwa either, doesnt deal with legal issues,
good to go through the goals of counseling with the couple
Active guide not passive, going to give them techniques, show them how to do things, how to
communicate
Forum to increase self-awareness understand your own issues and have certain things bother
you
Process oriented
Taking personal responsibility
Islamic Ethics
Integration of a religious framework many Muslims wont attend counseling because they
prefer religious guidance
discuss rights and responsibilities of the spouses and discuss where they are falling short in this
Have resources on hand collaborative care
Fiqh issues related to marriage child custody, validity of divorce, khula, domestic violence
Deen can be used as a powerful source to dispel faulty cognitions
Re-educate about roles and responsibilities in relationship
Obstacle they may challenge you and you are not a religious authority potential for power
struggle
Marriage according to Taqwa, not Fatwa adorn your marriage based on usool, rahmah and the
Sunnah
Dont fall into the trap of saying whos right and wrong
Most issues are relational and appear religious. This is the surface issue (the content)
The biggest issue: NOT being heard leading to inability to compromise. Empathy does not equal
agreement.
We want to rectify the marriage so that it is conducive to following Quran and Sunnah
Need to hear them out, many times the problem is lack of communication and not disobedience
Ask about sexual intimacy even though it is taboo, this needs to be done strategically
Level of Sexual intimacy can be diagnostic of the current state of their relationship
Help undo reinforcement erosion. Help them redevelop or even develop positives in
relationship.
Sometimes lack of intimacy is caused by other problems, sometimes it is the cause of the
problems, sometimes the wife just does it to fulfill obligation without love. Loving intimacy
indicates positive energy in the marriage. If the man just fulfills his needs on his wife, this would
cause problems. Men and women have different sexual needs. Often it is the men who are
unable to sexually fulfill their wives
Many Asian Muslims do these things as duties, instead of out of love and this causes problems
Sometimes they just need to take up time to talk to each other everyday
If husband and wife dont want to spend time together, its a sign of a bigger problem.
Module 22:
Family Systems Theory:
Families operate as a system. Just like any other system, there are patterns, structures, rules
and roles that are played out in order to maintain this system. Each family is unique in the
dynamics that are developed in forming this system.
Just like a business is a system and any disruption could psychologically affect the workers.
Families function similarly. Same applies to country systems and a variety of other systems.
Nothing happens in isolation.
A system is a series of inter-related, interdependent, interconnected parts whose whole is
greater than the sum of its parts
Systems thinking have its foundation in the field of system dynamics, founded in 1956 by MIT
professor Jay Forester. (looking at computer systems)
The approach of systems thinking is fundamentally different from that of traditional forms of
analysis. Traditional analysis focuses on separating the individual pieces of what is being studied.
In fact, the word analysis actually comes from the root meaning to break into constituent
parts. Systems thinking focus on how the object to be studied interacts with the other parts of
the system of which it is a part.
Bateson Relationships (groups) have a mind also. It regulates behavior within and between the
members of the system under observation, and with interactions with those outside.
Systemic Concepts
Holen one smaller piece of the system has all the information needed to reconstruct the larger
part system. A group of smaller subsystems whos purpose is to reproduce themselves with as
much integrity of the larger system as possible. Systems are regulated by cybernetic principles,
feedback, either negative (dont change) or positive (change). Eg: Children tend to emulate their
parents even if they say they wont. Islamic example: the name your parents give you effect
your behavior
Feedback loop Information is processed, compared against the setting that has been
established, and maintains the behavior of the organism (couple, family, kinship, culture, nation,
etc) by giving messages to either continue the course change, or to stay within the established
parameters. Families develop patterns which may be good or bad and dont like to change, are
afraid of change. We need to evaluate patterns and see what function they serve, and decide if
change is good or bad.
A common problem arises. Where the roles and patterns of the marriage or a family have not
been negotiated or agreed upon. Often due to the differing personalities of the individuals
within the family and the roles that they play, patterns emerge within the family and become
the norm.
The patterns may be dysfunctional or unsatisfactory to some of the members within the family.
Important to note that families are resistant to change.
Once these patterns develop, they serve a purpose, and if a member attempts to rock the boat,
there will be consequences from other family members to maintain the pattern EVEN IF it is
dysfunctional.
Open systems (involve others with family issues) VS close systems (private, dont talk about their
problems to others)
Homeostasis tendency for systems to return to the previous state
Homeodynamic tendency for systems to remain in the same form while evolving to the next
logical type (slow change without rocking the boat too hard)
Change is not difficult, change is inevitable
Systems are considered processors of information or energy.
Systems are either open or closed. Information either gets in or not. (open systems are more
open to therapy)
Systems thinking are not linear, as cause and effect, but are circular, recursive and multi-causal.
Within living systems, linearity is curbed by the systems internal process.
From a systemic point of view, a symptom is a sign that the system is in need of, or in the
process of change. It is not necessarily pathology. Family therapists dont like to think in terms
of psychopathology.
All family therapy models view flexibility as essential to healthy family functioning.
Dimensions of families:
Target dimensions
1) Meaning:
What are the family values?
What the goals of the family?
When others look at your family, what will they see?
What are the beliefs in relation to marriage?
Answering these questions, brings meaning to the family
2) Emotion:
How is emotion regulated?
Who is allowed to show emotion and who is not?
What types of emotion are permissible or impermissible? Eg: Husband cannot be sensitive
How is it expressed?
3) Power:
What is the hierarchy, if one?
Who makes the decisions and/or what kind of decisions?
Who is the gatekeeper?
How is power utilized? Eg: emotional coercion
Access Dimensions
1) Space:
Module 23:
Group Therapy:
Humans have been grouped since beginning of time, humans are social by nature
Sahaba were a group and the prophet was their leader. He would spend time in isolation though
(i.e. itikaaf)
Although groups are good, dependency on groups are a bad thing
We maintain and choose groups based on whether they are following Quran and Sunnah and
are beneficial
Groups can help people overcome illness, groups can help encourage us to do good
History:
Group counseling in the US can be traced back to late nineteenth and early twentieth centuries,
when millions of immigrants moved to American shores.
Most of these immigrants settled in large cities and organizations such as Hull House in Chicago
were founded to assist them adjust to life in the US. Known as settlement houses, these
agencies helped immigrants groups lobby for better housing, working conditions, and
recreational facilities.
These early social work groups valued group participation, the democratic process and personal
growth.
Some early psychoanalysts, especially Alfred Adler, a student of Sigmund Freud, believed that
many individual problems were social in origin. In the 1930s, Adler encouraged his patients to
meet in groups to provide mutual support.
At around the same time, social work groups began forming in mental hospitals, child guidance
clinics, prisons and public assistance agencies.
Group counseling offers multiple relationships to assist an individual in growth and problem
solving. In group counseling sessions, members are encouraged to discuss the issues that
brought them into counseling openly and honestly. The facilitator works to create an
atmosphere of trust and acceptance that encourage members to support one another. (social
support network very beneficial)
Unlike two person relationship, group counseling offers multiple relationships to assist the
individual in growth and problem solving. Counseling groups exist to help individuals grow
emotionally and solve personal problems. All utilize the power of the group, as well as the
facilitator who leads it, in this process.
Dr Irvin Yalom identified 11 curative factors that are the primary factors of change in group
therapy, they are:
1. Instillation of hope
2. Universality
3. Imparting of information
4. Altruism
5. Corrective Recapitulation of primary family
6. Improved social skills
7. Imitative behavior
8. Interpersonal Learning
9. Group Cohesiveness
10. Catharsis (sense of relief)
11. Existential Factors
Conduct a needs assessment (find out what the school needs, and form a group to deal with
that)
Tell students about the group. One way to do this is to mention the group(s) in classrooms
Inform administrators and teachers
Obtain parent/guardian consent
Screen potential group members (make sure the person is a good fit for the group)
Select group members
Use an evaluation procedure that will demonstrate the effectiveness of the group
Rationale for group counseling: what to avoid if I facilitate a group, I can see more students at
one time with the same problem
Group membership - Individuals that share a common problem or concern are often good
candidates for group counseling, where they can share their mutual struggles and feelings
In schools, groups for students who have or are currently experiencing their parents divorce,
grief/loss, social skills deficiencies
Consider the age, grade level and gender when choosing students for the group (similar yet have
people at different stages)
children who are suicidal or who have a psychiatric diagnosis that indicates a need for therapy,
or are the midst of the major life crisis are not typically placed in group counseling until their
behavior and emotional states have stabilized
People with severe cognitive impairments may also be poor candidates for group counseling, as
are patients with sociopathic traits, who show little ability to empathize with others
Siblings or relatives shouldnt be placed in the same group
Children who habitually lie or steal
Children who are victims of abuse
Children who are so different from the others that they may not be accepted
Children who are extremely aggressive
Group Construction
Others are indeterminate, and the group/counselor determines when the group is ready to
disband
Membership may be closed or open to new members depending on sensitivity of topic
Plan for the group: one fun exercise and one structured activity
Prevention Groups
Groups for prevention may be strictly informational, concerned with providing information on
subjects timely to adolescents such as peer pressure or decision making
Or they may be designed to help students improve their coping skills through such techniques as
problem-solving or the reframing of situations
Friendship groups
Intervention groups
Grief/Loss group
Students are encouraged to discuss the issues that brought them into the group openly and
honestly. Physical and Emotional safety.
The counselor/Facilitator works to create an atmosphere of trust and acceptance that
encourages members to support one another
Ground rules must be set at the beginning, such as maintaining confidentiality of group
discussions, showing respect for each other, taking turns talking, etc. (students assist in creating
rules)
Facilitates the group process, the effective functioning of the group, and guides individuals in
self-discovery
Depending on the groups goals, sessions may be either highly structured or fluid and relatively
undirected
Typically, the facilitator steers a middle course, providing direction when the group gets off
track, yet letting members set their own agenda. (Want to set group culture, start with Hadith or
end with a dua, etc)
The facilitator should guide by reinforcing the positive behaviors they engage in. For example, if
one student shows empathy and supportive listening to another, the facilitator should
compliment them and explain the value of that behavior to the group.
The facilitator should emphasize the commonalities among the members during each session to
instill a sense of group identity
Subgrouping
Fractionalization splitting off of smaller units extra group socialization cliques of 3-4,
coalitions form within the group
Inevitable often disruptive event in life of group
If used properly, may further work of group
Conflict:
Self-Disclosure
Facilitators must check-in with students individually to assess the value of group participation
(difficulty communicating in a group setting, unable to handle aggressive/hostile comments
from other members)
On-going assessment of group participation during the group
Recognize the role of each member of the group
Termination
Module 24:
Ethics in Counseling:
One is not qualified to offer psychotherapy at this level of education but can do basic counseling
These are the codes and rules that assist and promote safe practice
The number of rules for psychotherapy are minimal
This is the filter through which we view all client information and interactions
They are here to protect the clients and their rights
Ethical Codes are written by organizations, they are broader than the law, guidelines for
practice, goal is to protect the client, typically occur at national level
Law is written by state or national legislature vary from state to state, these may or may not
protect clients
All laws are ethics but not all ethics are laws
Sometimes the law and ethics clash
Ethics codes state that the psychologists and therapists need to adhere to the code of ethics and
attempt to resolve the conflict
Generally psychologists and therapists protect the client first
Best policy is to adhere to ethics codes and get consultation
Rules of Ethics:
1) Dont stress
2) If in doubt, get consultation
3) Do no harm
General Ethical Guidelines:
Therapy which makes the client permanently worse is not ethical
Therapy that makes things stay the same for a long period may be unethical
Ethics impact the following issue: Treatment relationship, Therapeutic Contract, Informed
Consent
Clients assume that youre practicing within your training, that you are sensitized to the cultural
issues they may bring, that you are on their side (must tie together the client and therapists
agendas to successfully set goals)
Conflicting Values in Psychotherapy
What do you do if you have a client who practices something that conflicts with your values?
Invite with Hikmah
Know your limits
Get consultation
Refer
Ethics of seeing clients from other cultures and value systems
Important for therapist not to make client become like the therapist
Need to know what own values are as a therapist
This gets challenging when it comes to successful acculturation
Bring them closer to Allah in degrees
Estimated population of 3-10 million Muslims in USA, mostly in the bigger cities
Most Muslims in Canada live around the Montreal and Toronto areas
22% of American Muslims are US born, 78% are immigrants, 27% - Middle East, 25% - South
Asia, 24% African American, rest from other parts of the world
American Muslims earn more than $50,000 a year and 58% are college graduates opposite of
Europe. Different cultures
American Muslims are more integrated into society as compared to European Muslims
American Muslims tend to identify themselves as Americans while European Muslims tend to
identify themselves with their countries of origin
Collectivism VS Individualism
Muslims are coming from a collectivistic background and trying to live in an individualistic
society
Cultures are divided into the individualistic and collectivistic dichotomy
Collectivism places an emphasis on the extended family, interdependence, humility, authority,
putting the needs of the community above ones own and a strong interconnected community
Individualism on the other hand is rooted in the nuclear family, autonomy, independence and
an ultimate focus on the self.
The Islamic culture can be viewed as being collectivistic in nature, the rules have been fashioned
in order to complement this worldview
If one doesnt understand the Islamic perspective of community, they may have trouble
understanding its rules
The Sahaba were a collectivistic society with the prophet as their leader, the scholars are
suppose to lead our communities today too.
The nuclear family is against the Islamic spirit
In Islam men need to go to the Masjid, work, support the family, etc while the women raise the
children and care for the home.
Complementarities within the system, as division of responsibilities are distributed equitably
Serving parents, caring for neighbors, having a lot of wives and children all part of the
collectivistic approach of Islam
In Islam, you think about others before yourself.
Woman does not remain isolated in her home, unlike a housewife in a western community
Rather she receives social and emotional support via the proximity and availability of the
individuals within her community which includes her friends, family and neighbors.
Does not feel isolated as a mother because Islam instructs families to have lots of children and
to support one another. Communities and extended families raise children which are in stark
contrast to the nuclear family structure. This way both children and mothers have social outlets.
Degree of emotional and social attachment between the spouses in the modern era is
unprecedented this is a natural attempt to compensate for the lack of a community, thus
attempting to plug in the family as a micro community.
This is problematic and creates isolation, divorce, and mental health problems
This complicates matters for Muslims, in this type of system. The woman does not have any
social supporters other than her husband. Consequently she becomes dependent upon him for
support. When he is not available or unable to provide support, it creates tensions in the
relationship.
Historically, Muslims have always had a strong sense of community. The spouses were not the
only members of their community. It would not be uncommon for men to have more than one
wife, travel frequently on business trips, study religion and spend time in the community.
Women on the other hand would frequent one another within the communities, spend time
with their extended family, and let their children stay with their grandparents, have womens
religious gatherings, lessons and entertain guests.
Muslims today are fitting the mold of the nuclear family and are becoming encultured as
individualists while attempting to follow the rules designed for collectivism.
This is dangerous and flies in the face of the Islamic perspective
The first generation of Muslim immigrants have attempted to replicate some of the collectivistic
notions in North America, but most have resulted in communities rooted in specific ethnic
groups and have not been established on the basis of religion.
This is due to the fact that immigration to Western countries was not a religious venture but
rather religious practice became a necessity upon arriving here.
Many find Islamic norms as inapplicable in the North American context and feel the necessity to
compromise those ideals in favor of an assimilattionist attitude. Thus, the nuclear modern family
is fully embraced, where the Islamic ideals of marrying young, having many children, and
extended family are compromised in favor of career driven roles between both spouses. With
this come the many questions of Islamic Law, attempting to satisfy their conscious by walking
the line of permissibility VS impermissibility and missing the essence and purpose of the Islamic
lifestyle or system.
Psychodynamic
Assumes a reality, ie reality of clinician. Criticized for possibility of being culturally insensitive
We need to plug in the reality of Islam and make it their yardstick for judging their current
thoughts and behaviors
Good thoughts to deal with bad times like acceptance of Qadar
Reframing looking at things from a different perspective
Move towards a positive attribution bias hope in Allah
Shaping self-reinforcement response cost a Muslims who feels guilty about doing
something pleasurable to his Nafs, should punish himself by spiritual ways like fasting or giving
charity introduced by Abu Ali Ibn Miskawayh
Analogy of the paper and needing to fold in the opposite direction when a paper is creased, to
straighten it you need to fold it in the opposite direction
To control the nafs, one must put it through some pains for rectification, like going on a diet
CBT
Coping Techniques
Being Pleased with Qadar combined with reframing
Doing for God as opposed to doing for others (never lose benefit in that)
Normalizing others have had the situation and some have been in worse than you example
of Somalia
Religious Healing
Diminish dependencies by forcing some isolation, eg: itikaaf. Spending time with just Allah alone
Al-Quran Shifaa Wal Hudaa
Traditional Healing Methods
Elicit Emotional Healing give them space to cry, to let it out
Specific prayers for particular ills duas for removal of depression/anxiety, Surah Fatiha, Quls,
Tahajjud
Limitations
Assumes mild to moderate pathology if someone has major mental issues, must send to
professional
Assumes a basic level of faith in Islam (practicing Muslim)
Diminished social supports in community
Module 28:
Collaborative Care
The roles of people from many different disciplines to work together
Role of the counselor
bridging resources to help this individual within the context of their community.
Counselor should identify his resources which include: social support networks, family, friends,
Masjid and programs within their vicinity these can complement the therapy
The counselor needs to encourage the religious scholar to do supplemental sessions whom you
will provide compensation for, you can hire a consulting scholar Integrative Islamic Care
The counselor needs to recognize situations that need Islamic legalistic aid
Role of the religious scholars
Be involved in mental health
Mental/Spiritual health is an component of the community that needs Islamic attention
They should be aware of the psychosocial issues in the community and find out about the
facilities and resources available in the society
Work with mental health providers by finding one other clinician that you trust. Send that
individual to that clinician and obtain a release of information form. This will render you able to
gain information about the treatment process. You may also offer to be part of the treatment
team, if your time persists and you develop the treatment plan with the clinician.
If the clinician is a Muslim you will be on the same page and treatment will serve as
complementary
If no Muslim clinician is available, find a culturally sensitive therapist, request congregant to
obtain a release of information form (which they have rights for), tell them to request your
Imam be a consulting treatment provider in this process
This ensures: the clinician treats the mental health pathology and does not instill any valueladen information in this. Healthy monitoring of this treatment. This forces the clinician to
consider spiritual healing that can be gained. It offers a dual treatment process that can be the
MOST optimal form of treatment
The role of the Psychiatrist
Recognize the need for medication management if the client needs it. Some disorders require it
like substance abuse, ADHD and bipolar disorder
Use this person ONLY for this purpose. Two mental health clinicians cannot treat via therapy at
the same time refuse to offer treatment if someone requests another clinician offer
psychotherapy
Chapliancy
This is a new field and job, the formation of a new discipline
This was originally a Christian concept, as spiritual guides in hospitals, prisons, etc
It is both a religious and professional career
This is a new venture with few models available