A Course in Miracles
Psychotherapy Pamphlet Purpose ~ Process ~ Practice
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Table of Contents Introduction............................................................................................................................3 1.0 ~ The Purpose of Psychotherapy....................................................................................4 2.I. ~ The Limits on Psychotherapy.......................................................................................6 2.2 ~ The Place of Reliion in Psychotherapy.......................................................................! 2.3 ~ The Role of the Psychotherapist............................................................................... ..11 2.4 ~ The Process of Illness.................................................................................................12 2." ~ The Process of #ealin...............................................................................................1" 2.6 ~ The $efinition of #ealin.............................................................................................1% 2.% ~ The Ideal Patient & Therapist Relationship..................................................................1' 3.1 ~ The Practice of Psychotherapy & The (election of Patients.......................................22 3.2 ~ Is Psychotherapy a Profession).................................................................................24 3.3 ~ The *uestion of Payment...........................................................................................2%
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Introduction
1. Psychotherapy is the only form of therapy there is. (ince only the mind can +e sic,- only the mind can +e healed. nly the mind is in need of healin. This does not appear to +e the case- for the manifestations of this /orld seem real indeed. Psychotherapy is necessary so that an indiidual can +ein to uestion their reality. reality. (ometimes he is a+le to start to open his mind /ithout formal help- +ut een then it is al/ays some chane in his perception of interpersonal relationships that ena+les him to do so. (ometimes he needs a more structured- etended relationship /ith an official therapist. ither /ay/ay- the tas, is i s the same5 the patient must +e helped to chane his mind a+out the reality of illusions.
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1.0 ~ The Purpose of Psychotherapy
1. ery simplysimply- the purpose of psychotherapy is to remoe the +loc,s to truth. Its aim is to aid the patient in a+andonin his fied delusional system- and to +ein to reconsider the spurious cause and effect effect relationships on /hich it rests. 7o one in this /orld escapes fearfear- +ut eeryone can reconsider its causes and learn to ealuate them correctly. 8od has ien eeryone a Teacher 9hose /isdom and help far eceed /hateer contri+utions an earthly therapist can proide. :et :et there are times and situations in /hich an earthly patient;therapist relationship +ecomes the means throuh /hich #e offers #is reater ifts to +oth. 2. 9hat +etter purpose could any relationship hae than to inite the #oly (pirit to enter into it and ie it #is /n reat ift of reould anythin +e holier) ?or psychotherapypsychotherapy- correctly understood- teaches forieness and helps the patient to reconi@e and accept it. =nd in his healin is the therapist forien /ith him. 3. eryone /ho needs help- reardless of the form of his distress- is attac,in himself- and his peace of mind is sufferin in conseuence. These tendencies tendencies are often descri+ed as self;destructie- self;destructie- and the patient often reards them in that /ay himself. 9hat he does not reali@e and needs to learn is that this self- /hich can attac, and +e attac,ed as /ell- is a concept he made up. ?urther?urther- he cherishes it- defends it- and is sometimes een /illin to sacrifice his life on its +ehalf. ?or he reards it as himself. This self he sees as +ein acted on- reactin to eternal forces as they demand- and helpless midst the po/er of the /orld. 4. PsychotherapyPsychotherapy- then- must restore to his a/areness the a+ility to ma,e his o/n decisions. #e must +ecome /illin to reerse his thin,in- and to understand that /hat he thouht pro
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and +ecomin increasinly /illin to see illusions as false and to accept accept the truth as true. #is Teacher Teacher /ill ta,e him on from there- as far as he is ready to o. Psychotherapy can only sae him time. 6. The #oly (pirit uses time as #e thin,s +est- and #e is neer /ron. Psychotherapy under under #is direction is one of the means #e uses to sae time- and to prepare additional teachers for #is /or,. There is no end to the help that #e +eins and #e directs. By /hateer routes #e chooses- all psychotherapy psychotherapy leads to 8od in the end. But that is up to #im. 9e are all #is psychotherapists- for #e /ould hae us all +e healed in #im.
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2.I ~ The Limits on Psychotherapy
1. :et :et the ideal outcome is rarely achieed. Therapy +eins /ith the reali@ation that healin is of the mind- and in psychotherapy those hae come toether /ho /ho already +eliee this. It may +e they /ill not et much further- for no one learns +eyond his o/n readiness. :et :et leels of readiness chane- and /hen therapist or patient has reached the net one- there /ill +e a relationship held out to them that meets the chanin need. Perhaps they /ill come toether aain and adance adance in the same relationship- ma,in it holier. holier. r perhaps each of them /ill enter into another commitment. Be assured of this5 each /ill proress. Retroression is temporary. temporary. The oerall direction is one of proress to/ard the truth. 2. Psychotherapy itself cannot +e creatie. This This is one of the errors /hich the eo fosters5 that it is capa+le of true chane- and therefore of true creatiity. creatiity. 9hen /e spea, of the sain illusion or the final dream- this is not /hat /e mean- +ut here is the eoCs last defence. Resistance Resistance is its /ay of loo,in at thins5 its interpretation of proress and ro/th. These interpretations /ill +e /ron of necessitynecessity- +ecause they are delusional. The chanes the eo see,s to ma,e are not really chanes. They are +ut deeper shado/s- or perhaps different cloud patterns. :et :et /hat is made of nothinness cannot +e called ne/ or different. Illusions are illusions5 truth is truth. 3. Resistance as defined here can +e characteristic of a therapist as /ell as of a patient. ither /ay/ay- it sets a limit on psychotherapy +ecause +ecause it restricts its i ts aims. 7or can the #oly (pirit fiht aainst the intrusions of the eo on the therapeutic process. But #e /ill /ait- and #is patience is infinite. #is oal is /holly undiided al/ays. 9hateer resolutions patient and therapist reach in connection connection /ith their o/n dierent oals- they cannot +ecome completely completely reconciled as one until they
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2.2 ~ The Place of Religion in Psychotherapy
1. To To +e a teacher of 8od- it is not necessary to +e reliious or een to +eliee in 8od to any reconi@a+le etent. It is necessarynecessary- ho/eer- to teach forieness rather than condemnation. en in this- complete consistency consistency is not reuired- for one /ho had achieed that point could teach salation completelycompletely- /ithin an instant i nstant and /ithout a /ord. :et he /ho has learned all thins does not need a teacherteacher- and the healed hae no need for a therapist. Relationships are still the temple of the #oly (pirit- and they /ill +e made perfect in time and restored to eternity. eternity. 2. ?ormal reliion has no place in psychotherapypsychotherapy- +ut it also has no real place in reliion. In this /orld- there is an astonishin tendency to
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patient and therapist restores the place of 8od to ascendance- first throuh >hristCs ision and then throuh the memory of 8od #imself. The process of psychotherapy psychotherapy is the return to sanity. sanity. Teacher Teacher and pupil- therapist and patient- are all insane or they /ould not +e here. Toether they can find a path/ay out- for no one /ill find sanity alone. 6. If healin is an initation to 8od to enter into #is Dindom- /hat difference does it ma,e ho/ the initation is /ritten) $oes the paper mattermatter- or the in,- or the pen) r is it he /ho /rites that ies the initation) 8od comes to those /ho /ould restore #is /orldfor they hae found the /ay to call to #im. If an y t/o are hrist- for /hat is unseen throuh #is eyes is too framented to +e meaninful. %. =s true reliion heals- so must true psychotherapy +e reliious. But +oth hae many forms- +ecause no ood teacher uses one approach to eery pupil. n the contrarycontraryhe listens patiently to each one- and lets him formulate his o/n curriculum5 not the curriculumCs oal- +ut ho/ he can +est reach the aim it sets for him. Perhaps the teacher does not thin, of 8od as part of teachin. Perhaps the psychotherapist does not understand that healin comes from 8od. They can succeed /here many /ho +eliee they hae found 8od /ill fail. !. 9hat must the teacher do to ensure learnin) 9hat must the therapist do to +rin healin a+out) nly one thin5 the same reuirement salation as,s of eeryone. ach one must share one oal /ith someone else- and in so doin- lose all sense of separate interests. nly +y doin this is it possi+le to transcend the narro/ +oundaries the eo /ould impose upon the self. nly +y doin this can teacher and pupil- therapist and patient- you and I- accept =tonement and learn to ie it as it /as receied. '. >ommunion is impossi+le alone. 7o one /ho stands apart can receie >hristCs ision. It is held out to him- +ut he cannot hold out his hand to receie it. Let him +e still
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2. ~ The Role of the Psychotherapist Psychotherapist
1. The psychotherapist psychotherapist is a leader in the sense that he /al,s slihtly ahead of the patient- and helps him to aoid a fe/ of the pitfalls alon the road +y seein them first. IdeallyIdeally- he is also a follo/er- for ne should /al, ahead of him to ie him liht to see. 9ithout this ne- +oth /ill merely stum+le +lindly on to no/here. It is- ho/eer- impossi+le that this ne +e /holly a+sent if the oal is healin. #e maymay- ho/eer- not +e reconi@ed. =nd so the little liht that can +e then then accepted is all there is to liht the /ay to truth. 2. #ealin is limited +y the limitations of the psychotherapist- as it is limited +y those of the patient. The aim of the process- therefore- is to transcend these limits. 7either can do this alone- +ut /hen they hrist. But healin is a process- not a fact. The therapist cannot proress /ithout the patient- and the patient cannot +e ready to receie the >hrist or he could not +e sic,. In a sense- the eoless psychotherapist is an
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2.! ~ The Process of Illness
1. =s all therapy is psychotherapypsychotherapy- so all illness is mental illness. It is a reator. It is a decision to perceie the unierse as you /ould hae created it. It is a decision that truth can lie and must +e lies. 9 hat- then- can illness +e ecept an epression of sorro/ and of uilt) =nd /ho could /eep +ut for his innocence) 2. nce 8odCs (on is seen as uiltyuilty- illness +ecomes ineita+le. It has +een as,ed for and /ill +e receied. =nd all /ho as, for illness hae no/ condemned themseles to see, for remedies that cannot help- +ecause their faith is in the illness and not in salation. There can +e nothin that a chane of mind cannot effect- for all eternal thins are only shado/s of a decision already made. >hane the decision- and ho/ can its shado/ +e unchaned) Illness can +e +ut uiltCs shado/shado/- rotesue and uly since it mimics deformity. deformity. If a deformity is seen as real- /hat could its shado/ +e ecept deformed) 3. The descent into hell follo/s step +y step in an ineita+le course- once the decision that uilt is real has +een made. (ic,ness and death and misery no/ stal, the earth in unrelentin /aes- sometimes toether and sometimes in rim succession. :et :et all these thins- ho/eer real they seem- are +ut illusions. 9ho could hae faith in them once this is reali@ed) =nd =nd /ho could not hae faith in them until he reali@es this) #ealin is therapy or correction- and /e hae said already and /ill say aain- all therapy is psychotherapy. To heal the sic, is +ut to +rin this reali@ation to them. 4. The /ord cure has come into disrepute amon the more respecta+le therapists of the /orld- and
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has not +een oercome until the meanin of loe is understood. =nd /ho can understand this /ithout the 9ord of 8od- ien +y #im to the #oly (pirit as #is ift to you) 6. Illness of any ,ind may +e defined as the result of a ie/ of the self as /ea,ulnera+le- eil and endanered- and thus in need of constant defense. :et :et if such /ere really the self- defense /ould +e impossi+le. Therefore- the defenses souht for must +e maical. They must oercome oercome all limits perceied in the self- at the same time ma,in a ne/ self;concept into /hich the old one cannot return. In a /ord- error is accepted as real and dealt /ith +y illusions. Truth +ein +rouht to illusions- reality no/ +ecomes a threat and is perceied as eil. Loe +ecomes feared +ecause reality is loe. Thus is the circle closed aainst the inroads of salation. %. Illness is therefore a mista,e and needs correction. =nd as /e hae already emphasi@ed- correction cannot +e achieed +y first esta+lishin the rihtness of the mista,e and then oerloo,in it. If illness is real it cannot +e oerloo,ed in truth- for to oerloo, reality is insanity. insanity. :et :et that is maicCs purpose5 to ma,e illusions true throuh false perception. This cannot cannot heal- for it opposes truth. Perhaps an illusion of health is su+stituted for a little /hile- +ut not for lon. ?ear cannot lon +e hidden +y illusions- for it is part of them. It /ill escape and ta,e another form- +ein the source of all illusions. !. (ic,ness is insanity +ecause all sic,ness is mental mental illness- and in it there are no derees. ne of the illusions +y /hich sic,ness is perceied as real is the +elief that illness aries in intensity5 that the deree of threat differs accordin to the form it ta,es. #erein lies the +asis of all errors- for all of them are +ut attempts to compromise +y seein
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teachin- if his lesson is to +e that sanity is safe. It cannot +e too stronly emphasi@ed that the insane +eliee that sanity is threat. This is the corollary of the oriinal sin5 the +elief that uilt is real and fully
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2." ~ The Process of #ealing #ealing
1. 9hile truth is simple- it must still +e tauht to those /ho hae already lost their /ay in endless ma@es of compleity. compleity. This is the reat illusion. In its /a,e comes the ineita+le +elief that- to +e safe- one must control the un,no/n. This strane +elief relies on certain steps /hich neer reach to consciousness. consciousness. ?irst- it is ushered in +y the +elief that there are forces to +e oercome to +e alie at all. =nd net- it seems as if these forces can +e held at +ay only +y an inflated sense of self that holds in dar,ness /hat is truly feltand see,s to raise illusions to the liht. 2. Let us remem+er that the ones /ho come to us for help are +itterly afraid. 9hat they +eliee /ill help can only harm5 /hat they +eliee /ill harm alone can help. Proress +ecomes impossi+le until the patient is persuaded to reerse his t/isted /ay of loo,in at the /orld5 his t/isted /ay of loo,in at himself. The truth is simple. :et :et it must +e tauht to those /ho thin, it /ill endaner them. It must +e tauht to those /ho /ill attac, +ecause they feel endanered- and to those /ho need the lesson of defenselessness a+oe all else- to sho/ them /hat is strenth. 3. If this /orld /ere ideal- there could perhaps +e ideal therapy. therapy. =nd yet it /ould +e useless in an ideal state. 9e spea, of ideal teachin in a /orld in /hich the perfect teacher could not lon remain5 the perfect psychotherapist psychotherapist is +ut a limmer of a thouht
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sacred callin of 8odCs holy (on for help in his perceied distress can +e +ut ans/ered +y his ?ather. :et :et #e needs a oice throuh /hich to spea, #is holy 9ord5 a hand to reach #is (on and touch his heart. In such a process- /ho could not +e healed) This holy interaction is the plan of 8od #imself- +y /hich #is (on is saed. 6. ?or t/o hae hrist- and understand that it is +ut our
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2.$ ~ The %efinition of #ealing
1. The process of psychotherapypsychotherapy- then- can +e defined simply as forieness- for no healin can +e anythin else. The unforiin are sic,- +eliein they are unforien. The hanin;on to uilt- its huin;close and shelterin- its loin protection and alert defense-Gall this is +ut the rim refusal to forie. 8od may not enter here the sic, repeat- oer and oeroer- /hile they mourn their loss and yet re
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reproduce the forms of the other- for they are the same illusion. (o closely is one translated into the otherother- that a careful study of the form a sic,ness ta,es /ill point uite clearly to the form of unforieness that it represents. :et :et seein this /ill not effect a cure. That is achieed +y only one reconition5 that only forieness heals an unforienessand only an unforieness can possi+ly ie rise to sic,ness of any ,ind. 6. This reali@ation is the final oal of psychotherapy. psychotherapy. #o/ is it reached) The therapist sees in the patient all that he has not forien in himself- and is thus ien another chance to loo, at it- open it to re;ealuation and forie it. 9hen this occurs- he sees his sins as one into a past that is no loner here. Antil he does this- he must thin, of eil as +esettin him here and no/. no/. The patient is his screen for the pro
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2.& ~ The Ideal Patient ' Therapist Therapist Relationship Relationship
1. 9ho- then- is the therapist- and /ho is the patient) In the end- eeryone is +oth. #e /ho needs healin must heal. Physician- heal thyself. 9 ho else is there to heal) =nd =nd /ho else is in need of healin) ach patient /ho comes to a therapist offers him a chance to heal himself. #e is therefore his therapist. =nd eery therapist must learn to heal from each patient /ho comes to him. #e thus +ecomes his patient. 8od does not ,no/ of separation. 9hat #e ,no/s is only that #e has one (on. #is ,no/lede is reflected in the ideal patient;therapist relationship. 8od comes to him /ho calls- and in #im he reconi@es #imself. 2. Thin, carefullycarefully- teacher and therapist- for /hom you praypray- and /ho is i s in need of healin. ?or therapy is prayerprayer- and healin is its aim and its result. 9hat 9 hat is prayer ecept the hrist can enter) This is #is home- into /hich
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8uilt is ineita+le in those /ho use their reator- 9hose Loe is in him and
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can eer lead to peace.
O let your patient in, for he has come to you from God. Is not his holiness enough to wake your memory of Him?
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.1 ~ The Practice of Psychotherapy '' The (election of Patients
1. eryone /ho is sent to you is a patient of yours. This does not mean that you select him- nor that you choose the ,ind of treatment that is suita+le. But it does mean that no one comes to you +y mista,e. There are no errors in 8odCs plan. It /ould +e an errorho/eerho/eer- to assume that you ,no/ /hat to offer eeryone /ho comes. This is not up to you to decide. There is a tendency to assume that you are +ein called on constantly constantly to ma,e sacrifices of yourself for those /ho come. This could hardly +e true. To To demand sacrifice of yourself is to demand a sacrifice of 8od- and #e ,no/s nothin of sacrifice. 9ho could as, of Perfection that #e +e imperfect) 2. 9ho- then- decides /hat each +rother needs) (urely not you- /ho do not yet reconi@e /ho he is /ho as,s. There is (omethin (omethin in him that /ill tell you- if you listen. =nd that is the ans/er5 listen. $o not not demand- do not decide- do do not sacrifice. Listen. 9hat
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his understandin. :et :et /ould he not re
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.2 ~ Is Psychotherapy a Profession)
1. (trictly spea,in the ans/er is no. #o/ could a separate profession +e one in /hich eeryone is enaed) =nd =nd ho/ could any limits +e laid on an interaction in /hich eeryone is +oth patient and therapist in eery e ery relationship in /hich he enters) :et :et practically spea,in- it can still +e said that there are those /ho deote themseles
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lad- for all your sins hae +een forien you. This is the only messae that any t/o should eer ie each other. ". (omethin ood must come from eery meetin of patient and therapist. =nd that ood is saed for +oth- aainst the day /hen they can reconi@e that only that /as real in their relationship. =t that moment moment the ood is returned to them- +lessed +y the #oly (pirit as a ift from their >reator as a sin of #is Loe. ?or the therapeutic relationship must +ecome li,e the relationship of the ?ather and the (on. There is no otherother- for there is
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seen ahead. Eost professional professional therapists are still at the ery start of the +einnin stae of the first
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. ~ The *uestion of Payment
1. 7o one can pay for therapytherapy- for healin is of 8od and #e as,s for nothin. It i sho/eerho/eer- part of #is plan that eerythin in this /orld +e used +y the #oly (pirit to help in carryin out the plan. en an adanced therapist has some some earthly needs /hile he is here. (hould he need money it /ill +e ien him- not in payment- +ut to help him +etter
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ie. =nd =nd +ecause he ies- he shall +e ien. This is the la/ of 8od- and not of the /orld. (o it is /ith 8odCs healers. They ie +ecause they hae heard #is 9ord and understood it. =ll that they need /ill thus +e ien them. But they /ill lose this understandin unless they remem+er that all they hae comes only from 8od. If they +eliee they need anythin from a +rother- they /ill reconi@e him as a +rother no loner. =nd if they do this- a liht oes out een in #eaen. 9here 8odCs (on turns aainst himself- he can loo, only upon dar,ness. #e has himself denied the liht- and cannot see.