Wednesday, April 22, 2015

Karpman Drama Triangle



A colleague of mine asked that I write up an explanation of a model I shared in class which I had at first known as the "Triangle of Conflict" in which people have the tendency of falling into three roles: The Villain, The Hero, and the Victim. Her interest sparked my own quick research on the topic and found out it's originally known as Karpman's Drama Triangle from Games People Play, a book utilizing Transactional Analysis (which I love to use). Here's what I wound up writing up for her:

The model has many ways it can be adapted for use in psychotherapy. It's originally called the Karpman Drama Triangle and is a "game" in Transactional Analysis. The original roles are Persecutor, Victim, Rescuer but I have the tendency of using teen-friendly terms and Villain, Victim, and Hero are easy to relate to.

Karpman views all three as being unhelpful roles that increase drama. The persecutor The victim believes self to be helpless and asks to be rescued and overlooks ways to help themself. The persecutor tries to make everyone else wrong. The rescuer acts out of wanting to be needed. (think co-dependent relationship between victim and rescuer).

Drama persists when you merely switch roles instead of leave the triangle altogether. A persecutor/villain/bully who is suddenly told they are the one who's wrong may suddenly switch to victim. Or a rescuer become a persecutor by trying to correct everyone else.








I like to frame it as each role has pros and cons. The Victim gets someone to care for them and meet their needs but is also vulnerable. The Persecutor has power but no one cares for them. The Hero gets to save the day but doesn't get to address their own needs.

You can use this as psycho-education, you could use gestalt and have a person talk with their inner victim, villain, hero. You could have a group role-play the different parts.

Imagine someone who survives abuse. Often you'll see that person settle into the role of victim and potentially form a co-dependent relationship with either a villain or a hero or they may try to prevent themselves from ever becoming a victim again and then either bully others or constantly try to rescue others.

One person can go round and round the triangle. An abuser strikes their partner (persecutor); Look what you made me do! (Victim); Pulls partner in close and says, there there, it's alright. (moving from victim to rescuer). If you didn't _____ then I would never have done that. (back to persecutor)

Wednesday, April 15, 2015

Principles/Values of Therapeutic Communities



About a month ago, my supervisor at Odyssey House (a residential treatment facility utilizing therapeutic milieu) requested that we as Support Staff come up with ideas on how we might be able to revamp the rules and/or find a way to more uniformly enforce the rules so that there could be more consistency from shift to shift. The problem that has arisen is that rules are often enforced based on the personal interpretation of the staff on shift. This varies widely however due to differences in experience and personality which can lead to a great deal of tension among residents. As I contemplated this I thought about utilizing a collaborative process to construct a core set of Principles or Values that everyone can agree on and rely on when evaluating rules and enforcement of these rules.

Ideally this would be a process involving all clients and staff. To get the ball rolling I thought I'd come up with my own list which I think would likely be helpful in any therapeutic milieu.

Responsibility
Self-Control
Safety & Health
Awareness
Compassion
Respect

My (brief) reasoning:

Responsibility includes recognizing Consequences and Accountability
Self-Control involves Self-efficacy, and Behavior management
Safety & Health promotes security and peace for everyone.
Awareness promotes insight, understanding, and knowledge
Compassion balances out responsibility and control with Human Connection and Healing.
Respect promotes mutual support, dignity, and harmony.

I believe these are essential components to a therapeutic community. If we find that we are taking an action that can not be linked to one of these principles then it should be a clear signal that we should either re-think the action or re-think the principles and values.