SET communication

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The SET communication is a conversation technique for treating patients with borderline personality disorder . The technique comes from Jerold J. Kreisman and Hal Straus . The conversation technique is based on the experience that communication with borderline patients often fails because they either feel unsupported, do not feel understood or that important statements about reality are not made in order not to endanger the good relationship. Accordingly, three statements are contradicted in this conversation technique, all of which should be in balance:

  • Support: The speaker should ensure that he wants to support.
  • Empathy: The speaker should make it clear that he / she can empathize with the other person and understand that it is difficult to change something. Empathy, however, has nothing to do with pity (“I'm sorry.”) Or identification (“I can empathize with you, because I felt the same way”).
  • Truth: The speaker should pronounce the realistic consequences following the behavior the patient has shown so far. It is important to formulate this part of the statement without reproach. Rather, it is about putting responsibility in the hands of the patient so that he can also recognize his options for action.

Communication technology contains dialectical strategies of communication. SET communication, similar to communication in dialectical behavioral therapy, combines elements to stabilize the relationship as well as the confrontation with the realistic consequences of behavior.

SET-UP is also used. UP stands for Understanding and Perseverance (perseverance, perseverance).

development

The conversation technique was developed by Kreisman and Straus together with staff from the Comprehensive Treatment Unit at Saint John's Mercy Medical Center in St. Louis . The main work, in which the technology is described, appeared in 1991 and is entitled I hate you don't leave me .

Individual evidence

  1. ↑ Jerold J. Kreismann and Hai Straus: I Hate You - Don't Leave Me: Understanding the Borderline Personality . Penguin, 2010, ISBN 978-1-101-44568-6 ( limited preview in Google Book Search [accessed June 2, 2015]).
  2. ↑ Jerold J. Kreismann and Hai Straus: I hate you - don't leave me: The black and white world of the borderline personality . 24th edition. Kösel-Verlag, 2012, ISBN 978-3-641-08313-7 ( limited preview in Google book search [accessed June 2, 2015] Original title: I Hate You - Don't Leave Me: Understanding the Borderline Personality . 2010 . Translated by Beate Gormann).
  3. ↑ a b Jerold J. Kreismann and Hai Straus: Sometimes I Act Crazy: Living with Borderline Personality Disorder . John Wiley & Sons, 2004, ISBN 978-0-471-51721-4 , pp. 198–199 ( limited preview in Google Book Search).
  4. ↑ Saskia Nissen: The fear of the borderline personality: Professional relationship and work design in a social therapeutic setting . Diplomica Verlag, 2009, ISBN 978-3-8366-7160-6 ( limited preview in Google Book Search [accessed June 2, 2015]).
  5. ↑ Andrea Jäger: Borderline Disorder: Understanding those affected . Diplomica Verlag, 2014, ISBN 978-3-95850-612-1 ( limited preview in Google Book Search [accessed June 2, 2015]).
  6. ^ Howard Rosenthal: Favorite Counseling and Therapy Techniques: 51 Therapists Share Their Most Creative Strategies . Taylor & Francis, 1998, ISBN 978-1-56032-667-0 ( limited preview in Google Book Search [accessed June 2, 2015]).