A Therapist must have Boundaries

Just where are the boundaries between therapist and client? What can you expect your therapist to divulge about himself and his view on the world? This is often one of the confusing aspects of therapy for many clients.
 

Irvin Yalom has been an advocate of having a less rigid approach to therapy in certain cases, though this is an exception to the rule. There has long been debate about how close a therapist should allow clients to become and how much of their private life they are able to disclose. This is a difficult problem for both parties and if not handled correctly could lead to the premature end of therapy. Maybe we should take a look at the reasons why therapists generally don’t disclose much about themselves. Firstly and the most basic reason is that you or your insurance are not paying the therapist to talk about their own issues or private life.  More is generally gained from listening than talking. This, of course does depend on the persuasion of the therapist concerned. Psychoanalysts tend not to divulge much at all and usually nothing about themselves, whereas CBT therapists will often use their own or other’s experiences as a realistic example of how they coped in certain situations, though care should even be taken here. It is often tempting as therapy advances to open the doors a little and allow clients in and I have done this occasionally when I thought it may help the process but generally boundaries need to be kept. Usually private life is only an issue when something happens that could affect the therapist’s ability to provide therapy to the client.The second reason and one that many will not have thought of is that being a therapist can be a dangerous job. Early on in my career, I was physically attacked by a client. This attack came completely out of the blue and I was unprepared for it. The lady concerned had severe issues and was frustrated with a point we were working on and exploded. This is why some therapists are reluctant to talk about their family and private life, purely to protect themselves and such cases are not unknown.

Should you really expect your therapist to have general opinions on current affairs, likes and dislikes, politics, etc? Some do but don’t really expect an in-depth discussion about any of these issues. A therapist won’t do this for one very good reason…the chance of disagreement. We all have our own views on things and sometimes on different ends of the spectrum. Your therapist will not want to alienate you or intimidate you with strong opinions on such things (or waste your time). Therapist non-disclosure sidesteps this by making the focus your background, beliefs and attitudes, and making the therapist responsible for keeping their bias in check.

As a CBT therapist, I see the relationship with the client as a model for the client’s relationships with others outside of therapy. I work in an atmosphere of genuine respect, empathy and regard for the client’s feelings and situation. The fact that a client is able to talk about everything, receive and give feedback and realise they are not being judged is often the key to recovery. This is where the therapist bears a huge responsibility for the framework of the relationship. Often the therapist may be the first person who has ever listened to them and appeared to understand. This can lead to the inevitable outcome of seeing the therapist as more than just a service provider, at best a friend…to the extreme as a potential partner. Therapists will promote this transference but must try to hold it in a place where it is useful for therapy and deal with any unrealistic client feelings as part of therapy. What’s the problem with transference? Rather than connecting with the person,  the client (and sometimes the therapist) is often relating to a template, which may be quite different from the flesh and blood version. The bottom line is always that these feelings  are mostly unrealistic and should be dealt with as such. However, as already stated, therapists expect transference on this deep level and are trained to deal with it. It is often the sign that the relationship is where it should be to instigate change.  A client should never be afraid to reveal that they have romantic, sexual, loving or other feelings towards their therapist. The important thing is to talk about it.

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