Those of our clients who are fortunate enough to have “good self-esteem" are to be admired and emulated while those who don’t have it are in need of psychological repair. Not surprisingly, low self-esteem is “transdiagnostic,” meaning its threads run throughout the fabric of many mental disorders. Still, how do we help our clients achieve it? Are there evidence-based methods for acquiring it? To me, and other critics, there is one big, seemingly obvious question ominously hovering over the traditional concept of self-esteem — shouldn’t one’s self-appraisal reflect the reality of one’s uneven and multifaceted development, which is rarely if ever, binary, and vastly more complicated and nuanced? Of equal concern; if one’s self-evaluations are too dichotomous, too rigidly black or white, cognitive inflexibility could easily upset the proverbial emotional applecart.
One in 76 Trillion
Besides being problematically binary in concept and application, the conventional notion of self-esteem faces another problem in that it subsists upon a steady diet of interpersonal comparisons; in short, it “makes its living” on “I’m better (or less) than you — I’m special (or not).” One must see themself as set apart in some way, above average — where mediocrity is decried and even anathema. Imagine complimenting a friend by saying, “Good job! That was so average!” Further, all our clients can’t be above average; this is statistically illogical. However, whether they like it or not, their judgements of “better” or “worse” are entwined in the minefield of interpersonal politics and deeply embedded in everyday social commerce. Moreover, this “who is better, me or you,” juggernaut can be so thoroughly baked into their thinking that it steamrolls everything in its path. And clients are not always fully aware they’re doing it. Commonly, without a speck of thought, their esteem for themselves instinctively balloons when others praise them, and conversely, their egos deflate with the explosive speed of a pricked balloon the instant they are targeted with criticism or perceive any one to be more attractive socially, physically, professionally, financially, or otherwise.
Of course, this familiar business of making comparisons flourishes across an expanse of social functions and activities of every kind both formal and informal. Classic example: On the sports field, scorekeeping is a precise and indispensable numerical gauge of the competition among individuals or teams — a comparison of athleticism. Imagine gauging the degree of sportsmanship or fun with the same precision. However, consider the plausible illegitimacy of making person-to-person comparisons from another perspective, one conducted on the larger “playing field” of our everyday lives. To explain, statisticians have calculated the probability of genetically duplicating any one of us is one in 76 trillion (the exception is homozygous or identical twins). Nature has gone to great lengths to ensure each of us is genomically unique. Given our uniqueness, should person-to-person comparisons be regarded as a valid metric?
The Ideal Self vs. The Real Self
Carl Rogers dubbed the terms “ideal self” and “real self” to mean the person we would like to be, in contrast to the de facto person we are, respectively. In sync with Roger’s reasoning, self-esteem is tightly bridled to our aspirations. Our clients (and we, their therapists) are indeed aspiring creatures who set goals which, by contrast, differ from who they are, or what their abilities are, or what they currently possess. However, this chasm between what they would like to become or attain verses what they have attained, generates tension, and often desensitizes them to any fulfillment stemming from our past accomplishments. Or worse, it can discourage or even disable them by fomenting a crippling, demotivating discontent with themselves. And we often see the fruits of this painful labor in our clinical sessions, particularly with depressed and anxious clients.
Conspicuous vs. Inconspicuous Outcomes
Self-compassion, on the other hand, delivers all the benefits of self-esteem without its cognitive rigidity, its “either or’s” and “better than’s.” For example, self-compassion is not an either you have it, or you don’t proposition. In fact, it’s not an evaluation, or a comparison, nor is it contingent on fleeting social success. Instead, it is a deeply non-judgmental love relationship with the self for who and how I am. Further, this affirming self-approbation promotes how I am like others, not set apart from them. This sense of similarity and belonging is strongly correlated with feelings of well-being and is served with a healthy topping of deepening self and other understanding and forgiveness. Thus, self-compassion’s enrichments are not characterized by the usual metrics of success, the conspicuous outcomes we expect or hope for, but the inconspicuous ones as measured by a stable, enduring, and positive relationship with oneself.
A Quick Recipe for Self-Compassion
When genuinely “friending” others, aren’t we, and our clients in particular, unconditionally accepting, warm, supportive, respectful, and generous with praise, understanding and encouragement? The answer is unequivocally yes. Now, simply by reversing the flow of this patently compassionate prescription and dosing themselves with it, our clients have an excellent recipe for self-compassion. So, quiz them by asking these pertinent questions: Are you as compassionate to yourself as you are to your friends? Specifically, can you turn inward to your own internally siloed resources for self-compassion and reliably draw upon them to nurture and uplift yourself, especially during times of personal stress? Further, are you more likely to criticize than to praise and accept yourself? Similarly, are you as quick to exonerate yourself for your inevitable missteps and shortcomings as you are ready to forgive your friends?
I am a true believer, a devout but amateurish practitioner/proselytizer of self-compassion in both my professional and personal life. I’ve found self-compassion to be a challenging but worthy lodestar that very gently nudges me and my clients upward to the highest quality of self-care and love. When self-compassion is most needed, it can be elusive, difficult to access or apply. Here is another personal example to further explain what I mean: I treated a severely abused adult survivor of intense and chronic early childhood trauma. Sadly, her symptoms would peak and trough unpredictably and, all too often, would overwhelm her diminished abilities to regulate her emotions. During one never-to-forget session, after making what I thought was a kind, empathic comment, the patient suddenly erupted in a firestorm of crude expletives, dropping the “F-bomb” repeatedly throughout her intense diatribe. All this full-throated venom was launched at me because I had inadvertently jabbed at a raw, and extremely sensitive psychological nerve.
Almost as quickly as it had started, my patient's fury ended with a remorseful, “I'm really sorry, I just go crazy sometimes.” With her contrite admission, my abrupt and steep dive into self-reproach was replaced with a moment of mutually felt awkwardness while we stared at each other as if to say, “So, what do we do now?” Mercifully, her sincere apology, combined with my prior efforts to learn self-compassion, sped the retrieval of my professional composure, despite the maelstrom of emotion we'd both just endured. Before the session was over, I was fully recovered and back to the business of trying to accurately empathize. Most importantly, I awoke to the fact that my first negative reactions were self-esteem based — they were the regrettable by-products of comparing myself to a nonexistent, illusory ideal clinician. You know, the one who is always unerring, competent, confident, and who never reacts, or in this case, overreacts to their emotionally dysregulated patient.
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Final Questions for Thought
How important is the concept of self-esteem in your own clinical work?
How did the author’s argument “sit with you” regarding the concept of self-esteem?
In what ways does the concept of self-compassion resonate with you personally? Professionally?