Expression of "highs and lows" is a simple, nonthreatening group exercise, and often overlooked for its capacity to elicit deep self-awareness at a very existential level. The therapist may instruct the group, saying, "Name one thing that makes you happy right now, and one thing that's making you sad." This is more than just an ice breaker; it is a pathway to deep and potentially troubling issues. It is built upon the principle that people sense that their own vitality and efficacy rest on whether they have purpose, relationships, or freedoms (Yalom 1980; Arkoff 1995).
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