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Being in the moment can either heighten self-awareness through observation and interpretation or result in temporary loss of self through experiences of flow. Patients who can flexibly shift between these self-perspectives benefit the most from treatment. When patients risk breaking away from their fixed patterns, they experience a greater sense of aliveness and engagement. Patients who focus too much on the past or too little on the present have problems being centered. Case studies and Antonioni's film Blowup (1966) illustrate how our lives take on renewed meaning through sustaining a present focus.

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