Healthcare Training Institute - Quality Education since 1979  
 
Section 15 
 
CD Track #15: The Sabotage of Uncertainty & Vulnerability Mode  
 
Table of Contents | NCCAP/NCTRC CE Booklet 
 
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  Self-Confidence 
Self-confidence is based on a belief that abilities will allow you to realize 
a goal and protect yourself against the consequences of failure and negative evaluation 
by others. As long as your clients have a firm belief in their competency, they 
are protected from the sabotage of uncertainty, self-questioning, and concern 
about failure.  
 
However, regarding the context of the experience, their belief 
in competence declines in front of a group. Technically, we can say that the self-confidence 
frame of reference or cognitive map is replaced by a vulnerability frame of reference.  
 
 Vulnerability Mode in Private vs. Public  
The change in context from private to public is responsible for 
changing your client's frame of reference, the individual's belief in his own 
competence. This change in content also affects the quality of his performance. 
The vulnerability mode may have some merit in protecting the immature child lacking 
in social skills from exposing himself to ridicule, but its persistence after 
the person has acquired competence, is generally counterproductive. So how do 
you get your client to recognize and change from their vulnerability mode? 
 
 Experience and Vulnerability  
The notion of self-confidence and competence can be further clarified 
if we examine the difference between a veteran soldier and a fresh recruit. Those 
of you that have treated past clients can relate to the following. The "green" 
soldier exposed to combat may well by swamped by a sense of vulnerability. He 
loses his mental focus due to the danger aspects of combat and focuses on his deficiencies. 
He finds it difficult to concentrate on the details of his assignment -- for example, 
a scouting mission. Moreover, when confronted with an unexpected danger, his available 
life-preservative mechanisms are limited to the primal responses: flee, freeze, 
collapse, which he must overcome if he is to function at all.  
 
The experienced 
soldier, in contrast, has a confident task-oriented frame of reference 
or cognitive map. He is concerned with maximizing the probabilities of surviving, 
mastering the challenge, and utilizing his skills. When confronted with an unexpected 
danger, he is already programmed to respond appropriately, presumably because 
previous exposure and practice in adaptive responses have forestalled the activation 
of a debilitating anxiety response. Moreover, his confidence precludes activation 
of the vulnerability map or frame of reference, which would predispose the client 
to the anxiety response. 
 
Why is the experienced professional or veteran 
able to respond to his specialized emergencies without the activation of his vulnerability 
frame of reference and resulting in anxiety behavior? The reason his cognitive 
map or frame of reference in situations that other people would regard as 
threatening, is essentially directed toward problem solving rather than toward 
anxiety. His "reflexes" are not hindered by anxiety. 
 
Think 
of a past client you have treated; if not a soldier, it might be an abused child, 
rape victim, or battered wife. How does their frame of reference or cognitive 
map operate? Is it one of vulnerability or confidence and task-orientedness? 
 
 Shifting from Vulnerable to Confident  
How do you shift your vulnerable client to confident?  
  The problem of retaining 
    confidence is related to several factors: 
      1. The strength of the belief in one's own confidence counteracts vulnerability. 
        2. The change in 
        context from non-evaluative to evaluative may increase the sense of vulnerability. 
      3. The introduction of questions regarding the consequences of failure 
    will change the client's frame of reference from being one of danger-oriented 
    to one of problem-oriented. 
     
    As you know, adopting a confident attitude 
    involves focusing on the positives in a situation, minimizing the negatives, and 
    often assuming that one has greater control than one actually has. This mind set 
    usually maximizes the probability of success and neutralizes an attitude of vulnerability. 
 
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