The Fawn Response in the Therapist's Chair: People Pleasing and the Fast Track to Burnout
Notas del episodio
What We Cover
- How worthiness gets tied to caretaking
- Five ways fawning shows up in and out of session
- A different way of understanding fawning in the body
- Differentiating attunement from fusion, somatically and clinically
- Why boundaries alone don't fix a structural problem
- One question to interrupt the cycle before you say yes
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A Clarification on the Common Factors Point
The episode states that client factors, not the relationship, are the number one agent of change in the common factors approach. This traces to Michael Lambert's 1992 synthesis, popularized in Hubble, Duncan, and Miller's The Heart and Soul of Change. The commonly cited breakdown gives 40% of outcome variance to client and extratherapeutic factors, 30% to the relationship, 15% to expectancy, and 15% to technique.
This was a qualitative synthesis, not a statistical model, and some methodologists call the pie chart more heuristic than empirical. Newer estimates vary, with some work putting extratherapeutic factors closer to 59%. Since clients also contribute to the relationship itself, client driven change may account for 70% or more when combined.
Trainings and Resources Mentioned
Lundgren, The Wheel of Tolerance
Wheel of Tolerance home study,(ICM)
Navigating Self-Disclosure (ICM)
References
Bowlby (1977): https://doi.org/10.1192/bjp.130.3.201
Figley (1995), Compassion Fatigue: https://shorturl.at/lVpzo
Litz et al. (2009): https://doi.org/10.1016/j.cpr.2009.07.003
Maslach & Leiter (2016): https://doi.org/10.1002/wps.20311
Skovholt & Trotter-Mathison (2016), The Resilient Practitioner: https://doi.org/10.4324/9781315737447
Smith & Freyd (2014): https://doi.org/10.1037/a0037564 W
Walker (2013), Complex PTSD: https://www.pete-walker.com/index.html
Wampold & Imel (2015), The Great Psychotherapy Debate: https://doi.org/10.4324/9780203582015
Young, Klosko, & Weishaar (2003), Schema Therapy:https://bit.ly/4fLj95L