Five Levels of
Awareness
Adam Blatner, M.D.
Revised,
August 5, 2008
One way to think about
dynamic
psychology is to recognize that people operate on several levels of
consciousness at the same time. I've been able to discern five of them:
(1) open expression; (2) secrets; (3) self-deceptions; (4) unconscious
beliefs and feelings; and (5) things never considered. These levels may
be appreciated as forms of what one can express openly, admit to others
or oneself--or not, as the case may be.
Level 1 refers to whatever tends to be expressed relatively freely in a
given situation. The person is able to admit these ideas clearly to
others as well as to himself. (Please excuse the male gendered
pronouns.)
Level 2 refers to what can be admitted to oneself and perhaps confided
to trusted friends or one's psychotherapist. This is the category
of secrets, or opinions kept to oneself out of discretion. The
key here is that the person still is clearly aware of these thoughts.
Level 3 involves those thoughts which are only occasionally admitted to
oneself; indeed, much of the time such thoughts are actively avoided,
denied, or even countered by opposite thoughts. For example, a person
might say to himself, "Me, scared? Heck, no! I'll take 'em on anytime.
I'm ready for 'em. Ain't nobody gonna scare me!" This is the
"pre-conscious" level. Psychotherapy involves primarily loosening up
the client so that he can admit some of these mixed thoughts and
feelings to the therapist. In psychodrama, the double's role is to help articulate
some of these points.
Level 4 involves those ideas which are not admitted to oneself. This is
what psychoanalysts call "the unconscious." The ideas are so
uncomfortable that they feel incompatible with the person's sense of
self. An interesting point is that as people in therapy begin to
develop more trust in the therapist and more self confidence, some
ideas or feelings that were at level 4 begin to shift into level 3, and
later on, even into level 2. This is called "insight."
It is generally a rule not to try to
"interpret" or bring to the client's attention ideas or feelings that
are operating at level 4, because they will bounce off, be rejected,
and the therapist making this assertion will be unconsciously
experienced as hostile. "I don't know what you're talking about," is
close to the experience of statements made about level 4. Furthermore,
the wording of such statements are rarely aligned with the inner
wording of anything even related to these feelings or ideas. They are
not in what Carl Rogers called "the client's self system" ---i.e., the
words the person would use to describe himself or his own thoughts or
feelings.
Level 5 refers to those ideas which have not previously been
considered. It involves information which, rather than being repressed,
must be introduced from the outside. Through meeting people with
different beliefs, life styles, modes of behavior, and ways of
thinking, we discover that the world is not like our families and
cultures of origin.
Further Considerations
Regarding Level 4. Another type of unconscious material are
those types
of awareness that haven't yet developed enough coherence to reach
awareness. These are rough intuitions or preferences that haven't been
processed through language or been paired with enough contrasting
experiences to be noticeable. When all you've ever experienced was a
certain state, you might not recognize what it's like to be more free,
or more loved, etc. In this case, certain experiences in life tend to
open people to new possibilities which may not register in
consciousness until a sufficient number of associations, words to
express these new ideas, and the like have constellated.
Regarding Level 5: Growing older, meeting people with different
backgrounds, we find that there are other individuals, families,
neighborhoods, or cultures which are both more promising of positive
experience and more threatening of negative experience than we have
known. Learning of levels of abuse and alienation in others can help us
become more forgiving (and, indeed, grateful) for our own backgrounds;
on the other hand, learning of the possibilities of love, harmony,
patience, and playfulness in others may help us to dare to want more,
and to recognize the limitations of a situation to which we may have
become numbly resigned.
Resistances to Awareness
People need time and help in opening to the awareness of many
types of
ideas. If one has become accustomed to living in a certain fashion,
perhaps associated with inhibitions, constrictions, and
self-controlling asceticism, the prospect of greater freedom, vitality,
openness, wisdom, and responsibility can be sensed as overwhelmingly
threatening. This is because the innate desire for innocence and
freedom is a vulnerable state, associated with the "inner child"
complex. As such, it is also associated with feelings of weakness, and
a vulnerability to shame, guilt, and rejection. (In mature adults,
rejection can be managed by having a broader range of responses,
knowing one can turn to other sources for support, can draw upon other
experiences for self-affirmation; however, many people aren't mentally
prepared for this level of resilience. Thus, novelty is somewhat
threatening.)
Further, for people who have had interpersonal trauma early in their
lives, many desires are in a sense "amputated" or denied. To be invited
or tempted to open to areas of experience which are associated with
such risks leads to anxiety. Thus, what is repressed is the capacity to
believe oneself capable of enjoying the newly discovered pleasures.
Techniques of modeling, group support, sharing, role playing (as
rehearsal), and the like all serve as techniques for both drawing the
fullness of personality forth (which is another way for describing
aspects of individuation) and for desensitizing the associated fears of
daring to dream and desire. The point here is that it takes time,
encouragement, reassurance, and continuing effort.
The Power of Expectation
Just noting the idea of these categories of mind to some minor
degree
opens them up. For many people, the very idea of there being thoughts
and feelings that aren't known, unconscious, is new, and even a bit
foreign. By talking of this in a matter-of-fact fashion, just as we now
talk about there being germs and cells too small to see, or stars not
visible to ordinary vision, a type of alertness is generated.
So, for both the fourth and fifth level described above, there is a
spirit here of "seek and ye shall find." Based on the findings of
psychology, the experiences of many other people, we
can speculate on the probability of certain phenomena even though they
haven't been specifically discovered in the individual patient. It's
like searching for and finding a star or a subatomic particle based on
clues from mathematical equations. Indeed, simply presenting this
continuum as a cognitive structure tends to suggest to patients the
existence of deeper levels of awareness and to invite them to explore
these realms.
Depthanol and Articuline
These are words I've made up to suggest two magic pills:
Depthanol is a
little like truth serum, a pill that suggests that one can access
feelings and thoughts that are otherwise unavailable. Articuline works
to help people to put words to these feelings and thoughts even though
ordinarily one might not be able to do it. For example, if one is role
playing a young child who ordinarily couldn't express emotions clearly,
imagining using these pills allows one to imagine what that child might
be feeling if such emotions could be more clearly expressed. The point
of this magic pill technique is to encourage the person in daring to
exercise his or her imagination.
Sometimes, this device can be also used for pets, or inanimate objects:
"What if this bed could speak? What experiences would it report?" "What
has this dining room table seen happen?" These are merely dramatic
devices that help people express their subconscious projections and
fantasies–and we're all doing this all the time.
Working as a Psychotherapist
This structure of five levels of awareness also implies a
progression
of gradual awareness and "interpretation," beginning with the most
superficial mode of expression, and proceeding in steps toward the
deeper issues. First, there's an acknowledgment of the
overt behaviors, then reflection of the expressed nonverbal elements. A
fair amount of time should be spent on the third level, which is very
rich. Inclusion of the many parts of the
self, healthy adaptations, secret sources of pride, self-affirmations,
associated interests and ideals, and other positive dimensions should
balance (if not predominate over) explorations of sources of doubt,
shame, and loss. This confirms the rich complexity and individuality of
the other, and anchors the patient in themes of positivity that must
become part of the explicit, shared reality before the patient is
encouraged to dare to confront the negative elements. Furthermore, by
working with the upper three levels as important aspects of the
personality, there's less of a tendency for the patient to experience
the explorations of more unconscious issues as reductionistic and
demeaning.
For example, if the patient is in a psychodrama, and the auxiliary ego
working as a double is expressing gradually more pointed
self-disclosures, the double's using this system of graded levels of
awareness can be helpful in building a more effective working alliance.
Feedback from the patient becomes the source of correction, more
accurate empathic statements, and a growing "tele" between patient and
double. In this interactive dynamic, after first demonstrating the
fullness of the first two levels, the patient can be helped to express
himself at levels three and four, and to explore the possibilities of
level five.
A final point: These five levels also reflect a mixture of
interpersonal and intrapsychic beliefs regarding what is appropriate to
share with others and what is appropriate even to carry within one's
own consciousness. Such judgments are key determinants, aside from the
specific thoughts and feelings which may or may not be admitted into
consciousness or the interpersonal field. Thus, therapy also is aimed
at a re-evaluation and growing discrimination about how problematic
ideas and feelings should be handled. There's a softening of barriers
to sharing oneself. Helping patients to explicitly choose which
feelings or thoughts are okay to admit openly, which shouldn't be
communicated to others or even admitted to oneself, and to wonder about
those which might not have been considered yet, all are important
component processes in psychotherapy.
In summary, the construct of five levels of decreasing self-awareness
and self-disclosure can be useful in working with therapists (or
psychodramatic doubles). More importantly, it can serve as a framework
which encourages patients to explore levels of self-deception and
increasing awareness, which thus promotes a more dynamic treatment
alliance.
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Email to adam@blatner.com