likelihood, she didn’t have a couple of years to spend in therapy thoroughly discussing her childhood
before trying to give up cigarettes again. Nor did she have the patience; I suspected such intense therapy
was too big and scary a step for her.
The first small step Rachel took was to call my voice mail once a day. All she had to say was, “Hi, it’s
Rachel.” She was taken aback when she realized this teeny step made her nervous. She then understood its
value: If you’ve spent a lifetime avoiding dependence, the simple act of calling into voice mail violates
your promise never to need another person. As this step became less frightening, we added another call
just before she smoked a cigarette. This was
not
an attempt to shame Rachel into quitting. We agreed that
she could still smoke as many cigarettes as she wanted to—she was just supposed to say hello before
smoking. “Hi, it’s Rachel!” she’d say. “I’m having a cigarette now!” Because Rachel had learned not to
crave human companionship, I was trying to develop Rachel’s appetite for it in a way that wouldn’t scare
her. I was also putting one step between Rachel and her “best friend.” We did this for one month.
Then I asked Rachel to write down her feelings in a journal. Research demonstrates that people who
use a journal to chart their emotions receive many of the same physical and psychological benefits as
those who talk to a doctor or minister or friend. I believe that the reason writing in a journal is so
effective is that, for many people, it’s a pretty big deal to decide that your emotional life is valuable
enough to commit to a book that no one else will ever see. Psychology research suggests that clients are
supposed to write in their journals for at least fifteen to twenty minutes a day to receive its benefits, but
there was no way Rachel would devote that much time to her inner life. So we began by having her write
for just
two minutes
every day. We did this, along with the phone calls, for two more months. Rachel’s
brain began to think about her journal and me whenever she was upset. At the end of this period, Rachel
was surprised to discover her cigarette intake was cut back by 30 percent, without any effort on her part.
Then I asked her to incorporate another kaizen step—small questions—into her routine. She was to
imagine that she had a best friend (a human one!) who was by her side all day long, and to ask herself
what she’d like the friend to do at any given moment—perhaps listen to her brag about one of her
accomplishments or chat with her as she decided what to have for lunch. These questions began to take
hold. (For more information about the power of small kaizen questions, see the chapter “Ask Small
Questions.”) Soon Rachel started to call real people, those friends who seemed worthy of the risk, and
she began to have positive experiences as she reached out to them in small ways. Around this time,
Rachel went back to the smoking-cessation technique she’d used before. Within a month, she’d stopped
smoking. And this time, she didn’t stop for just a little while. Rachel has not smoked a cigarette in two
years.
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