Self-affirmation: how to receive criticism and respond to mockery ?

Social phobics, as well as many of your other patients, are likely sensitive to criticism and can therefore be easily hurt by it. Fortunately, like communication in general, there are techniques for both receiving and giving criticism effectively. This is what we will explore today.

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1. Sensitivity and criticism

Social phobics, as well as many of your other patients, are likely sensitive to criticism and can therefore be easily hurt by it. Fortunately, like communication in general, there are techniques for both receiving and giving criticism effectively. This is what we will explore today.

We must distinguish between three types of criticism your patient may receive:

  • Justified criticism
  • Unjustified criticism
  • Vague criticism

2. JUSTIFIED CRITICISM

Listenning to the criticism

When your patient is criticized, it is important that they take the time to listen to the criticism. Just like in conflict management, they should ask themselves: “What exactly am I being criticized for? What is the exact problem? Am I being criticized for being late? For not doing my homework properly? For not being serious? For not submitting my work on time?”

The patient should take the time to listen to the specific issue being criticized. Then, they should apply the same techniques found in chapters 1, 2, and 3 on self-assertion. Even if your patient is sensitive and feels overwhelmed by their emotions, which they should accept as discussed in the chapter on emotion management, they need to decenter themselves. The criticism is not aimed at their personality but at their actions. The patient should allow their emotions to settle before addressing the conflict related to the criticism. They should avoid personal interpretations and stay focused on the subject of the criticism.

The same principles and rules apply to their response to criticism: they should not be aggressive, should try not to be defensive, but should simply state what they think and feel as clearly as possible.

So, the first thing to do is to listen carefully to the criticism. If the criticism is justified, they should acknowledge their mistake without justifying themselves to avoid conflict. Admitting their faults when the criticism is justified can prevent 99% of conflicts. Once the patient has actively listened, they can apply the many techniques of Dr. Malbos.

First technique : Clarifying their position

Your patient should clearly state their position: “I think you’re right, it’s true that I need to pay more attention to arriving on time. From now on, I’ll be more mindful and motivated.”

Second technique : Self-disclosure

The patient can, for example, admit that the criticism makes them feel sad or a bit down. Conversely, if the emotion is positive, they can share that they are glad their manager brought up the issue so they can now work better together

Third technique : Broken record

In the case of an overly insistent criticism, your patient can use the “broken record” technique: “As I said, it’s true, I made a mistake, but now I’ll move forward and work to correct it.”

Fourth technique : Negative inquiry

Sometimes, your patient might face an interlocutor who criticizes them, but the criticism is not the real issue. Often, the criticism hides something else and is not justified. In this situation, they should perform a negative inquiry: “As I said, I will work on this issue, but I see you keep repeating it. Is there perhaps something else behind your criticism? Are you reproaching me for something else?”

This gives the interlocutor the opportunity to express the real issue behind the facade criticism.

Fifth technique : Ending the criticism

Finally, your patient should always end their response to the criticism warmly: “Thank you for raising this issue with me. It was very useful. I will now work on this.”

This allows the criticism to be resolved without causing suffering.

3. UNJUSTIFIED CRITICISM

What about when it is an unjustified criticism? Your patient should not apologize or acknowledge the criticism. However, the patient must understand that the criticism must be objectively unjustified. Nevertheless, the patient should listen to the elements of the criticism to use them later to demonstrate that the criticism is unjustified. Again, active listening is very important: “I understand that this work is important, but I have done my work as necessary.”

If the interlocutor insists, the patient should move into “broken record” mode: “But I already told you. I have done my work.”

The patient can also use the self-disclosure technique: “It hurts me that you think I didn’t do my work.”

Or use the positive emotion disclosure technique: “It’s good that you raised this issue, but it’s not the problem because I really did my work.”

Even in the case of unjustified criticism, the negative inquiry should be used: “I didn’t make this mistake, but I would like to know if there’s something else behind this because I see you insist.”

Always, offer a compromise: “I see there’s an issue, I did my work as expected, but maybe I can help. Let’s try to find a solution together.”

4. VAGUE CRITICISM

For vague criticism, simply clarify the situation. The patient can say to the interlocutor: “What exactly are you criticizing me for in this situation?” Vague criticism is easy to resolve; just clarify it to determine whether it is justified or unjustified. Once identified, apply Dr. Malbos’s techniques accordingly.

Manipulation

It is also important to warn your patient about manipulation. Social phobic patients often get easily manipulated. For instance, in a conversation about moving, the interlocutor might play on the patient’s fear of losing friendship if they don’t help.

Your patient needs to learn to recognize manipulation and not engage in the interlocutor’s game. Always express emotions clearly: “It’s true, you’re my friend, you are very important to me, and yes, we have known each other for a long time, but I really can’t help you move this Sunday. However, if you leave some things for Monday, I can help then.” The patient should be clear, disclose themselves, and seek a compromise.

Detecting manipulation, even if the interlocutor isn’t always aware of it, is crucial for your patient, as it allows them to respond appropriately.

4. MOPCKERY

How can a social phobic defend against mockery or insults ?

Self-derision

The easiest thing to do is self-derision. Your patient should take the insult from the interlocutor and exaggerate it. For example, if the interlocutor says to your patient, “You look like a clown,” the patient can reply: “Yes, it’s true, I’m a clown. Yesterday, I was working at the circus, and it pays well. I’m going to be very famous soon.” The interlocutor then feels trapped. This technique is simple because it just involves repeating what the interlocutor says, regardless of the subject.

Practice with your patient using examples like “Your clothes are horrible, and what’s that handbag?” “You’re completely stupid!” “You’re too weird, you’re an alien,” etc.

Incongruity

Incongruity is the second technique your patient can use against mockery. It involves responding to a mockery with an unrelated comment. If the interlocutor says, “You look ridiculous in your clothes,” your patient can respond: “Yes, yesterday I was walking by the river, and I saw seagulls. It’s beautiful to see seagulls in the landscape.” Again, the interlocutor feels trapped. This “mismatch” technique can be very practical.

Reciprocity

This technique is much harder to apply because it requires quick thinking to respond to an insult. It takes some practice before it can be applied effectively.

This technique involves finding a way to mock the interlocutor in return. For example, if the interlocutor says, “You look ridiculous in your clothes,” the patient should analyze the interlocutor’s look. Assuming the interlocutor is a hipster, your patient could respond: “Maybe I look ridiculous, but at least I don’t look like a bourgeois dressed as a bum like you.”

Reciprocity can be combined with self-derision to make it easier to apply. For example, if the interlocutor says, “You’re stupid,” the patient could respond: “Of course I’m stupid, that’s why I’m in the same class as you.”

Do you need further information or have any specific questions ?

FAQ

Virtual reality (VR) is an innovative technology that enables patients to be exposed to immersive and controlled environments, facilitating the management of numerous psychological and psychiatric disorders. Its use in mental health offers several advantages:
  • Gradual and Controlled Exposure: VR allows patients to confront anxiety-inducing situations in a secure environment, gradually adjusting the intensity of stimuli to promote habituation and emotional regulation.
  • Realistic and Reproducible Environments: Unlike traditional techniques, VR provides immersive scenarios that can be consistently reproduced, ensuring a coherent and effective approach.
  • Increased Patient Engagement: The interactive and immersive nature of VR enhances treatment adherence and motivates patients to continue their therapy.
  • Personalized Treatment: Virtual environments can be adapted to meet the specific needs of each patient.
  • Versatile Applications: VR is used to treat anxiety disorders (phobias, post-traumatic stress disorder, obsessive-compulsive disorders), addictions, mood disorders, and even cognitive remediation.
The use of virtual reality in healthcare is not new! It has been studied and utilized for over 30 years in the medical and psychological fields. As early as the 1990s, researchers began exploring its potential for treating anxiety disorders, particularly phobias and post-traumatic stress disorder. Since then, numerous scientific studies have confirmed its effectiveness in addressing various psychiatric, neurological, and cognitive disorders.
Today, VR is widely integrated into therapeutic and medical practices, with clinically validated protocols. It is used in hospitals, clinics, and psychologists' offices worldwide to provide patients with innovative, effective, and safe treatments.
To use virtual reality, one must immerse themselves in a virtual environment. There are several ways to achieve this.
In the past, the CAVE system (Cave Automatic Virtual Environment), a 3D setup consisting of multiple screen walls, was the primary method used. This system allowed users to be fully immersed in the virtual world, with their movements detected in real-time. However, this technology was expensive and not widely accessible.
Since around 2016, with the introduction of virtual reality headsets like the Oculus Rift and HTC Vive, VR has become much more accessible. These headsets immerse users in virtual reality through an enclosed screen that projects digital images. The user's head movements are tracked, enabling them to look around and interact with the environment as they would in the real world.
Today, VR headsets are wireless and standalone, providing maximum comfort and ease of use without requiring external sensors or cables.
A virtual environment is an immersive digital simulation created through virtual reality. It allows users to navigate in a 3D space that accurately replicates everyday situations or specific contexts.
In mental health, these environments are designed to help individuals gradually face certain situations, manage their emotions, or enhance cognitive skills. By interacting with these virtual spaces, patients can engage in meaningful experiences tailored to their needs.
You need to equip yourself with a virtual reality headset. Our software is compatible with Meta Quest 2, 3, and 3S. 
You will then only need an internet connection. 
Numerous studies confirm that virtual reality is safe to use. However, some restrictions are in place to protect users from potential adverse effects.
For instance, individuals with epilepsy and pregnant women should avoid this type of therapy.
As with any immersive technology, prolonged use may cause visual fatigue or mild discomfort, particularly for those sensitive to motion sickness. Therefore, it is recommended to take regular breaks and adjust session durations according to individual needs.
Virtual environments are designed to be gradual and controlled, minimizing the risk of excessive anxiety. Most users quickly adapt to immersion and experience the benefits of this innovative approach from the first sessions.
Anxiety disorders and phobias can be effectively treated using virtual reality. Patients are gradually and progressively exposed to anxiety-inducing situations in various environments while remaining in a safe space. This process helps develop a sense of habituation, ultimately reducing or even eliminating anxiety over time.
Behavioral and substance addictions can also be addressed through virtual reality. By incorporating synthetic stimuli into the environments that trigger craving responses, patients struggling with addiction can work on their cravings to diminish the urge to consume.
Additionally, multiple environments—such as bars, casinos, and social settings—enable cognitive work on dysfunctional beliefs associated with specific temptation scenarios.
Regarding eating disorders, virtual reality software helps target key etiological factors, such as body dysmorphia, allocentric lock (a tendency to focus on others rather than oneself), and food cravings.
Currently, our TERV (Virtual Reality Exposure Therapy) solutions include multiple software programs designed to address critical psychiatric, psychological, and neuropsychological determinants such as relaxation, cognitive stimulation, behavioral activation, and social skills training.
Reminiscence therapy is also a major therapeutic tool in treating depression. By allowing patients to relive sensations linked to past pleasurable activities (such as sports, driving, or traveling), virtual reality stimulates hypoactive brain areas, enhancing therapeutic success. VR serves as an excellent mediator for reigniting engagement in enjoyable activities.
Moreover, cognitive stimulation for elderly individuals is another area where virtual reality proves beneficial. By leveraging technology to make stimulation activities more engaging and accessible, patients and nursing home residents can improve executive functions and memory through specially designed applications.
Today, virtual reality in mental health care is advancing rapidly. Researchers, clinicians, and developers continue to explore new therapeutic targets to offer innovative and effective treatment solutions in the near future.
VR can be used by all healthcare professionals assisting patients with anxiety, phobias, post-traumatic stress disorders, addictions, or other psychological challenges.
It is particularly beneficial for psychologists, psychiatrists, neuropsychologists, specialized nurses, as well as psychomotor therapists, physiotherapists, dietitians, sophrologists, and hypnotherapists. With a wide range of immersive environments, VR enhances therapeutic approaches and provides innovative tools to improve patient care.
Healthcare providers incorporating virtual reality exposure therapy (VRET) expand their range of treatment options. VRET is a well-established therapeutic technique with scientific validation from cognitive-behavioral therapy research.
  • Professional Differentiation: Integrating VR into practice allows therapists to stand out from traditional treatment options.
  • Scientific Validation: VRET is backed by extensive research, reinforcing its credibility as an effective treatment method.
  • Improved Patient Engagement: The interactive nature of VR fosters greater patient involvement in therapy.
  • Time-Saving: VR provides direct access to various exposure environments without needing external logistics.

One of the considerable advantages of virtual reality is that it is effective on a wide spectrum of populations. Existing data from the literature on the subject shows us that it is entirely possible to expose a wide age group to virtual reality, with real therapeutic benefits.

The studies attest, in fact, to excellent feasibility and significant results; particularly in adults, in the treatment of anxiety disorders (including school phobia), autism, addictions, eating disorders, neuropsychological disorders, psychotic disorders and mood disorders.

The results are identical for adolescents with a significant added value concerning therapeutic engagement where virtual reality promotes adolescents' interest in their therapy.

Among elderly subjects, study results encourage the use of virtual reality with the aim of working on cognitive stimulation, on behavioral disorders but also on anxiety.

One of the major advantages of virtual reality is its effectiveness across a broad spectrum of the population. Existing literature on the subject shows that virtual reality can be used with individuals of various age groups, providing significant therapeutic benefits.
Studies confirm excellent feasibility and significant results, particularly among adults in the treatment of anxiety disorders (including school phobia), autism, addictions, eating disorders, neuropsychological disorders, psychotic disorders, and mood disorders.
The results are equally promising for adolescents, with a notable advantage in terms of therapeutic engagement, as virtual reality enhances their interest and participation in treatment.
For older adults, research supports the use of virtual reality to improve cognitive stimulation, behavioral disorders, and anxiety management.
However, people with epilepsy and pregnant individuals are not advised to undergo this type of therapy.
Yes, all our environments are grouped within a single application.
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