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How PICT Works & Why
Theoretical framework
PICT is a powerful and versatile visualisation-based therapy model. It is an evolving form of cognitive therapy with a foundation in Transactional Analysis that incorporates Neuro-Linguistic Programming (NLP) to aid rapid positive change. Although PICT was originally created to specifically help people recover from the trauma and damage of sexual, physical and emotional abuse during childhood (such harm may have been caused deliberately, caused by neglect, or by inadequate parenting which was not intentional), PICT is equally effective for a wide range of emotional problems. Such as: eating disorders, OCD, DID, self harm, ritual abuse, anxiety or depression, Post Traumatic Stress Disorder, phobias, working with abusers, grief and loss issues (including murder, suicide, abortion, miscarriage, still birth, loss of job, material things or pets). PICT therapists also have the skills to assist with Critical Incident Debriefing (witnessing/experiencing highly traumatic events).

PICT, although a 'talking' therapy, is a directional model following a flexible structure always adapted to the client's individual needs. PICT is designed to assist people who have completed the 'unloading' process (the initial talking through of past events) to move into the process of change work. PICT therapists can either facilitate the 'unloading' process and then move on to change work or accept clients who have already completed the 'unloading' with prior counselling and are now ready for change work.

Benefits to clients
The most significant feature of PICT is that it can bring about change compassionately because there is no need to disclose any details of traumatic events. PICT addresses the effects of the trauma (whether the trauma is in conscious memory or not) rather than focusing on the detail of an event and therefore allows the option for clients to retain their privacy, dignity and to work comfortably. PICT produces measurable results and contains thorough, quick and effective techniques to bring about beneficial and lasting change.

Most clients enjoy the methods and are quickly aware of their achievements. PICT therapy can be relaxing and satisfying, with times for light heartedness to counterbalance the more serious moments. PICT therapists are required to use their own personal material during training to enable them to fully understand the 'client' experience.

How PICT works

When adults with good reasoning power find they are unable to resolve ongoing problems they can often be heard to complain in frustration, 'I know I shouldn't feel (think/do) this, but I still do!' In other words, their logic is at odds with their feelings and their feelings seem to be winning the battle. This is usually a depressing experience for people who want to be in charge of their life and they often blame themselves, feel guilty and call themselves 'weak' or 'useless'. So, why are people with good reasoning power trapped in an unwanted feeling or behaviour?

PICT teaches that the core beliefs we have about ourselves (our identity), about others or about the world are learned during early childhood, before we are old enough to determine if the information is correct or not. Because this process happens so early on, the information/beliefs we have learned seem more like a basic truth that has always been with us. In other words, it is difficult for a client to think in terms of 'belief', it seems much bigger than that - it seems like a truth about identity, i.e. 'That's just how I am', 'That's just how life is'.

That belief learning process is fine if we have emotionally healthy families who demonstrate good parenting, because then most of our beliefs about self, others or the world will be positive and supportive. However, when families are dysfunctional or parenting skills are lacking, the beliefs we learn are mistaken and limiting, i.e. I'm not good enough, I can't get anything right, No one can be trusted, There is no safety, etc. These mistaken beliefs learned during childhood remain active in the background, essentially invisible to us, as they rule our decision making, influence our self esteem, effect our relationships and our ability to motivate ourselves. Because the beliefs are 'invisible' to our logic we feel confused and frustrated when we 'know we shouldn't feel (think/do) something, but we still do.'

PICT works on the premise that the 'inner child' (that one part of our unconscious where the memories of the younger self are accessed) who holds the original beliefs can be communicated with and the limiting beliefs can be changed. One might think that any mistaken belief would be automatically updated by new information as a person grows up - sort of like changing our belief in Father Christmas. However, that does not happen to those identity beliefs that start so early they are out of consciousness, nor does it happen to beliefs created from trauma events. Therefore, PICT uses the 'today' adult consciousness to communicate with the inner child from the past.

Transactional Analysis clearly outlines the 'child', 'adult' and 'parent' aspects of individuals and encourages understanding (and ultimately choice) of the functioning of those aspects within self, and with others, to resolve problems. PICT has simplified and has specifically, flexibly and vastly restructured this accepted process to enable resolution of ongoing problems, unwanted behaviours and past traumas.

The PICT model assists clients to access specific information, through the unconscious mind, to identify the root cause of ongoing problems and unwanted behaviours. Then, using specific PICT techniques, the client's 'adult part' (with direction from the PICT therapist) gives the 'child part' appropriate information, love and support. All the ingredients needed to create belief change, and consequently change of perspective for the 'child part', are embedded within these PICT techniques - enabling the 'child' and 'adult' part of the client to both gain positive and matching beliefs about self. Essentially, the client is guided through the unwanted feelings or behaviours to the desired emotional freedom. Within this process the 'parent' part is automatically learning new attitudes and skills to alter negative and destructive self-talk.

Why PICT works

As already stated, some root causes of problems are tucked away in the unconscious and clients have no idea why they have the problem and consequently how to get rid of it. However, even when clients do have conscious knowledge of root causes, those early experiences are usually surrounded by a great deal of guilt or shame. Those kinds of feelings are very uncomfortable and people tend to avoid looking at them. PICT teaches that, regardless of the events, because they took place early in childhood there is no guilt or shame attached to the child.

Children accept blame very easily and are certainly encouraged by dysfunctional parents to do so. It is very easy for dysfunctional parents to use their children as objects to project their own feelings of inadequacy and guilt upon. For the most part, children's mistakes are innocent behaviours committed as they are learning the myriad of rules and regulations of life. Children are reliant upon their parents for information of how to safely and appropriately function in life and if parents have not done their job properly children are vulnerable to experience serious mistakes. Therefore, if parents have failed in their responsibility then the blame or guilt goes back to the parents. However, because these issues are seldom discussed or examined children can grow up with a backlog, or undercurrent, of guilt and shame that are actually unwarranted.

Working solely through the conscious mind (adult state) or solely through the unconscious mind (partially child and parent) seldom creates the balance or harmony between those states that is needed for full problem resolution. By utilising metaphor and visualisation for the unconscious mind and appropriate information for the conscious mind PICT efficiently bridges the gap and assists clients to painlessly identify and thoroughly resolve issues attached to blame, guilt and shame.

At the conclusion of PICT therapy clients regularly report feeling a sense of completion, a new sense of understanding of how and why they had the problems and a feeling that they now have all the puzzle parts of their lives put back together - 'My life now makes sense' is a common statement. These feelings are brought about by the inner harmony created by bridging the gap between the conscious and unconscious mind - for if restricting unresolved material is operating from the unconscious, there can seldom be a sense of peace and harmony in the conscious mind. This sense of inner harmony generally prompts clients to feel they are able to successfully deal with any new challenges life may bring because they are no longer hindered by problems or traumas from the past. Both client and therapist end the therapeutic relationship with a welcome and well deserved sense of achievement.

How Is PICT Different To Other Therapy Models?
PICT has a flexible structure - a beginning point, middle and end (Sequential and Mandatory Steps), as well as, measurable results (Memory/Problem Lists). PICT can easily, quickly and compassionately deal with even the most traumatic experiences because there is no need to reveal painful details (all major PICT tools). PICT is designed to obtain thorough understanding and resolution of trauma/problems (TRE) rather than leaving gaps that can bring the same problems back to the surface later on. PICT is designed to work fast while still creating deep and lasting change (all major PICT tools) - what would generally take six months to a year can be cleared in six weeks to three months. Therefore, overall, PICT greatly reduces waiting lists, stops the 'revolving door' syndrome and creates compassionate, lasting resolution rather than only offering 'support'.