GRIMES DIALECTICAL RATIONAL PSYCHOTHERAPY(GDRP)
and
ITS PARENT PHILOSOPHICAL MIDWIFERY(PM)

by
Regina L. Uliana, Ph.D.

PM Book Cover The following is, in part, excerpts from
the Chapter Comparing PM/GDRP and
Cognitive Psychotherapies Systems and
from the chapter on the Stages of the
Dialectic.

Grimes Dialectical Rational Psychotherapy (GDRP) is the clinical application of the principles of philosophical midwifery and belongs to the class of cognitive psychotherapy since it is a rational psychotherapy.

As with its parent, Philosophical Midwifery, GDRP assumes the cause of problems and dysfunctional behavior is the acceptance of false beliefs about oneself and reality. These false beliefs go undetected until they manifest themselves as blocks and obstacles to our most personally meaningful goals. These false beliefs are called the pathologos.

Grimes has adapted the Socratic dialectic and applied it for the purpose of identifying and exploring the nature, origin and necessity of this class of belief called the pathologos. This form of dialogue is called a midwifery for it is through the dialectic method where the order of the questions are designed in such a way that the subject can anticipate their direction and assist in the delivery of his problem. Grimes points out that the stages of the dialectic are not mechanically applied but function as a map or basic design which can be adapted to meet the particular needs of the subject. By following the method then the philosophical midwife does not need to interpret, advise or teach, for through following the method itself information is brought forth for the subject to review. Once the data is revealed then another level of questions in the stages of the dialectic functions to aid the subject to puzzle out the meaning of and the answers to his problem. Of course this type of dialogue presupposes that subjects are open and willing to such joint explorations into the blocks they encounter as they pursue their most meaningful goals.

A distinction then between PM and GDRP is that PM serves those who can state their problems that block them from their personally meaningful goals. Where as GDRP serves those persons who cannot set goals, state their problem or admit they have a problem and or whose levels of anxiety preclude them from entering into PM. GDRP also serves those with specific mental-behavioral disorders.

We can describe those receiving the benefits of PM or GDRP as follows:

In PM dialogues the participants are called
Philosophical Midwife and Pregnant Person.

In GDRP sessions the participants are called
Psychotherapist : Patient

We have found that GDRP-trained psychotherapist may need to educate the patient in stating their goals and problems.

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The mark of GDRP as a rational psychotherapy, as well as the hallmark of Platonic thought in philosophy, is the assumption that reason (understanding) and the testing of understanding in one's own experience is sufficient to free oneself from the false beliefs that produce irrationality.

The idea of a rational psychotherapy is thought by many to be a contradiction in terms. It is believed that a rational psychotherapy would be, in principle, incapable of reaching fundamental levels of thinking and emotions, or of being empirically verified because traditionally speaking it is claimed that rationalism or a rational psychotherapy would transcend immediate experience.

In the book, Philosophical Midwifery...., we present the results of a study we designed to challenge these beliefs. The analysis of our results showed that major elements of the theory of PM/GDRP are testable, and by following its prescribed cognitive method, it uncovers the pathologos and surfaces emotionalized behavior associated with one's fundamental beliefs. Further, we found that PM/GDRP is prescriptive and has the capacity for verification and evaluation without requiring external diagnostic criteria such as DSM IIIR, (or DSM-IV). And still further we showed that this rational cognitive method is capable of eliciting significant levels of emotionalized behavior. Thus, the long held belief that a rational psychotherapy is, in principle, incapable of either being empirically verified or of affecting emotionalized behavior is rejected.

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Dr. Uliana functions both as a philosophical midwife and psychotherapist. She has applied PM/GDRP principles to a number of problems including blocks to success, attitudes and stress and addictive behaviors, She has written about GDRP as way to understand the chronic problem of recidivism. She presents workshops and training seminars on the use of PM/GDRP for various professional organizations.

Email Dr. Uliana at: philomidwifegdrp@hotmail.com