Affects and the Pathway to Motivation
MANY YEARS AGO WHEN I WAS PUZZLED by the actions and symptoms of very disturbed patients, my mentor, Lewis Hill, told me that people only do things that make sense to them from the point of view that they hold. The task of a therapist is to find that point of view, even if the patient doesn't know or remember it. Finding the point of view of patients begins with recognizing their emotional experiences. Finding the sense their symptoms or actions make to them requires that we discover the affective goal patients seek and thereby understand their motivations. This chapter describes techniques designed to aid in the discovery of affective experiences associated with often puzzling motivations.