The issue of to what extent the analyst can or should remain relatively inexpressive and anonymous raises significant fears when extreme positions are taken. Also, it is not just the effect of the disclosure at the particular moment that should be considered. Perhaps, the most important effect of therapist self-disclosure or non-disclosure, is the effect it has on the analytic relationship over time. It is not the narrow issue of self-disclosure that is most important.
I would like to propose that it is the emotional and relational availability of the analyst, and his willingness to accept that analysis is a mutually vulnerable experience that is a key factor in facilitating vulnerability and deepening the therapeutic process. Livingston, Ph. Discussant: Dorienne Sorter, Ph.
Although authors have asserted that boundary violations are both harmful and beneath the standard of care, some of the activities in question are consistent with the ethical practice of humanistic and behavioral psychotherapies, as well as with eclectic approaches deriving from those schools. Theoretical statements, survey research, and case examples are used to elucidate concerns about maintaining metaphorical boundaries in psychotherapy and to demonstrate that psychotherapy is diverse with respect to the behaviors at issue.
It is concluded that even scrupulous humanistic, behavioral, and eclectic practitioners might appear to practice negligently by virtue of engaging in behaviors which some consider to be boundary violations and that innovative practice might be stifled by risk management concerns.
The Therapists Use of Self. Workshop Facilitated by John Rowan
One matter that may be discussed at malpractice proceedings—before a civil court, licensing board or ethics committee—concerns the inappropriate crossing of boundaries by the psychotherapist. The most egregious boundary violation is sexual intercourse during treatment—something that virtually all practitioners condemn. Williams appeared in Psychotherapy, 34 3 , , Further, I contend that for a genuine encounter to occur between patient and therapist, and for authentic growth in intimacy to emerge which is at the heart of the need for therapy to begin with a truly shared experience must take place.
Again, the belief herein suggested is that the encounter between patient and therapist like that between parent and child should take place between psychological equals: between the co-participants of dyadic psychotherapy. Lastly, that the sharing of experiencing, which leads to intimacy, is achieved through the process of mutual self-disclosure.
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From: Fisher, M. The shared experience and self-disclosure. New York: Plenum, pp. Let the patient know how you feel about what he or she is saying. This will make you appear more genuine and real p. I told Ronda that I felt inadequate. I said I felt as if every sentence that came out of my mouth was wooden and useless to her. I told her I felt excluded and shut out, and that I felt angry with her.
Different Types of Therapy [Psychotherapy]: Which is Best For You? | Talkspace
I said I wanted to give her something positive and I believed that the therapy could be successful, but I felt thwarted in my efforts p. From: Burns, D. The feeling good handbook. New York: Plume.
Different Types of Therapy [Psychotherapy]: Which is Best For You?
Self-disclosure is one way the therapist authentically represents her- or himself in the therapeutic relationship to foster relational movement and growth. This article makes use of an initial clinical vignette to compare and contrast the use of therapist self-disclosure within an RT approach with views of therapist self-disclosure from other psychotherapy traditions. Advantages are discussed for using therapist disclosure with eating disordered patients.
Criteria are outlined to help the RT therapist decide when to disclose.
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Additional clinical vignettes show different types of therapist self-disclosure, their therapeutic purposes, and their relational impact. The article ends with implications for future research, training, and practice related to the use of self-disclosure in the treatment of eating disordered patients. From: Mary Tantillo, M. Eating Disorders, 12 1 , pp. From: Aron, L. Dialogues , Violations can involve excessive self-disclosure by the therapist to the patient… Gifts may be exchanged.
Notice that in this scenario, the therapist has not touched the patient, nor has the therapist said or done anything that is overtly sexual. The treatment, however, has already become compromised, and the therapist may be found liable civilly. The therapist is also vulnerable to action by a licensing board, should the patient wish to make a complaint.
From: Strasburger, L. The prevention of psychotherapy sexual misconduct: avoiding the slippery slope. American Journal of Psychotherapy , 46, Maintain therapist neutrality. Foster psychological separateness of the patient. Obtain informed consent for treatment and procedures. Interact only verbally with clients. Ensure no previous, current, or future personal relationships with patients. Minimize physical contact. Preserve relative anonymity of the therapist. Transference in therapist-patient sex: The illusion of patient improvement and consent part 1.
Psychiatric Annals , 24, Self-disclosure by psychiatrists and other therapists is a complex topic. Self-disclosures may also create role reversal in which the patient attempts to rescue the therapist. Sexual fantasies or dreams about the patient or others should not be shared with the patient under any circumstances.
Self-disclosures by therapists have a high correlation with subsequent therapist-patient sex From: Simon R.
Additional References. Note: All highlighted texts bold were added by Dr.
The canvass the rock is free in nature and for the price of some inexpensive acrylics or paint pens one can create art. Lastly one can work on rocks anywhere. A couple rocks and some markers travel easily to the doctors office, the beach or to your favorite support group or book club.
I highly recommend it to anyone looking to relax, recover, think positively, relieve depression or just create and have fun. Thanks for contributing your experience, Cindy! It sounds like painting on stones is a wonderful creative outlet for you. Thank you for posting this up. Thanks Helen. Yes, painting stones is a great idea for some creative self-care. Lovely article thank you for sharing your insight. A wonderful, informative, and inspiring post! I would love to hear a bit more specifics on how stones could be used in supervision.
I am compelled to join your mailing list. Thank you for sharing your ideas and insights! This is wonderful! Given them to clients to take with them as tool to relax. Also used as a discharge object, we wrote inspiring words or phrases on them in paint pen and each gave one to each other. I work with teens and kids FYI!
This is lovely Emma! I use stones in my office and have for years. It sounds like a way in. No deep work for me. I just want to say that sometimes it can seem like no deep therapeutic work is being done, when in fact it is. I wish you well, and hope that you and your therapist can find increasingly meaningful ways of communicating together.
Thank you Emma. I mentioned this at the end of my last session — as I was leaving — and my therapist looked like a ten-tonne truck had smashed through the wall. Therapy, eh? Always plenty to talk about. I am wondering if pebbles etc. Unless the client is finding it hard to begin opening up issues? What are your thoughts? Thanks for joining in! You sound thoughtful and reflective. Things that are hard to talk about, but can be sooo valuable to talk about in the therapy relationship!
Different Types of Therapy [Psychotherapy]: Which is Best For You?
Years ago I saw an experimental film with a man moving stones around and he gave them all a name! I thought this would make a useful exercise with many variations. Like the film maker, I found it useful to have one stone with no name! That one is called The stone with No Name and can take many projections.