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Coaching Skills Training: How Do We Treat Abnormal Psychology?
Following on from the series of articles examining the signs of abnormal psychology of which managers are advised to be aware, this article considers different approaches to their treatment.
Coaching questions are powerful things and I always tell the managers I train as coaches to respect that power. They must also recognize that what starts as clearly business related conversation, may lead to uncovering a significant problem outside of work. The most effective coaching managers are always keen to develop at least a little psychological awareness.
In previous articles I have examined how coaching may uncover signs of, amongst other things, alcoholism, schizophrenia, drug addiction, eating disorders and sexual deviation.
This can seem an alarming list but I’m not suggesting that we all need to become psychotherapists, but even if you have to deal with such issues only once an awareness of what to look for and how to respond could be crucially helpful.
This article now considers the range of therapies available for the treatment of psychological disorders. We’ve moved some way away from the days of exorcisms and burnings to a range of therapies often based on the work of such pioneers as Ivan Pavlov and Sigmund Freud.
The Biological Perspective
This approach suggests that cause and treatment is physical. Treatments include:
* Chemotherapy (Antimanics,Neuroleptics, Antidepressants, etc).)
* Electro-convulsive Therapy (Cerletti and Bini, 1938)
* Psychosurgery
The Psychodynamic Approach
This approach suggests disorders stem from unconscious conflicts. Treatments include:
* Psychoanalysis (Dream Interpretation, Hypnosis, etc.)
* Group Therapies (Psychodrama, Transactional Analysis, etc.)
The Behavioural Model
Looking at the resultant behaviour, rather than the cause, such as:
* Implosion Therapy
* Flooding
* Systematic Desensitization
* Aversion Therapy Behaviour
* Shaping
* Token Economics
* Modelling
We might also consider the cognitive perspective which bases treatment on altering a patient’s thinking about a problem and the humanistic perspective which seeks to put sufferers in touch with their true selves, e.g. Carl Rogers’s work in the 1940s.
What then of the coaching manager who uncovers signs of abnormal psychology when coaching and wants to provide appropriate help. Best advice would seem to be to keep to good coaching principles. Ask questions designed to raise awareness, generate responsibility and build trust then listen carefully and attentively to the responses. This won’t worsen the situation and may, in fact, do quite a lot of good.
Thereafter, it’s a question of referring the coachee to the relevant professional, because as we’ve seen here expert treatment may be required. For this reason I recommend that all coaching managers familiarize themselves with their organization’s welfare procedure.