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Trig Oct 07, 2019 at 02:17 AM
  #1
Hi community,

Therapy can help, but it can also harm.

What about therapy needs to change and why?

Feel free to provide as much or as little explanation as you desire.

Thanks,
HD7970ghz

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Default Oct 07, 2019 at 04:05 AM
  #2
The power indifference.
The minimizing of traumatic experiences from the therapist who reiterates little t from bit T; they are both traumatic.
The lack of belief in continuous traumatic stress.
The lack of help for those with DID or thise who have partially integrated but still need treatment for DID.
The stigma on certain mental disorders from professionals.
The toxic countertransference.
The inability or unwillingness to share notes.
The lack of attending to patient preferences.
The lack of cultural training.
The disregard for treating microaggression trauma.
The not allowing emotional expression.
The stopping a client who is crying and in the middle or beginning of a would-be breakthrough in disclosing a trauma memory.
The lack of empathy from the therapist.
The putting words in a patient's mouth.
The disbelief in dissociative disorders.
The lack of treatments for past therapy abuse and iatrogenic effects.
The premature termination.
The misdiagnoses.
The lack of stating what the treatment goals, approaches, and risks are up front.
The lack of mental health parity.
The stigma.
The lack of grief and loss processing.
The lack of assessing strengths in addition to symptoms.
The lack of accountability.
The ethical dillemas.
The burnout felt by clients, not just therapists' compassion fatigue.
The effects of the therapists' compassion fatigue on the client.
The lack of explaining different treatment options and modalities.
The infantilizing of the client.
The lack of spending more time building trust and rapport.
The lack of screening therapists before licensing them.
The lack of cultural sensitivity training.
The lack of veteran-related training for civilian therapists.
The lack of understanding that chronic fatigue, fibromyalgia, multiple sclerosis, ageing transitions, pain management issues, and other physiological or neurological issues is not curable through therapy, and is not psychosomatic per se, but they do impact our emotiins, memories, and cognitions.
The lack of unconditional positive regard and candor, both at the same time.
The lack of therapy for false memory syndrome, if it truly is an issue.
The lack of therapy for therapists so that they do not take it out on their clients.
The names of certain diagnoses need to change to reduce stigma and more accurately reflect symptoms instead of dispositions; there should be a growth perspective that is stronger than a fixed one when defining symptoms and assigning labels
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Default Oct 07, 2019 at 07:03 AM
  #3
Justice for when something goes wrong rather than cover ups. They are not being honest.

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Default Oct 07, 2019 at 07:29 AM
  #4
The first session should have in depth explanation about what is therapy and how the whole process works. Things like transference should be addressed up front and termination.

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Default Oct 07, 2019 at 08:28 AM
  #5
Top quality training for potential therapists with an emphasis on self-awareness and reflective skills. From what I can see, most therapists cause damage when they haven't worked through their own stuff to an acceptable degree and so it gets re-enacted in the room. Therapists who deny/can't deal with client transference also fall into this category. Therapists should be trained in being aware how they are being impacted by the client. They should also be aware of any potential judgements, prejudices and other feelings towards certain people or behaviours or issues and be willing to address this as part of their ongoing personal and professional development. Humility is key, not ego!

Also, regular personal therapy should be a requirement throughout training...it is in the UK. You can't train if you aren't willing to go to therapy at the same time.

Regular, ongoing supervision...again, this is a requirement for therapists in the UK who are registered under a professional body such as BACP. Supervision should never stop simply because the therapist has worked for a few years. Every client is different and brings up different issues.

Reputable professional bodies such as BACP in UK which produces ethical guidelines and a complaints legislation. I'm not saying it's perfect, but it's certainly some protection for clients.
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Default Oct 07, 2019 at 08:33 AM
  #6
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Originally Posted by TishaBuv View Post
The first session should have in depth explanation about what is therapy and how the whole process works. Things like transference should be addressed up front and termination.
Agree 1000%
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Default Oct 07, 2019 at 09:18 AM
  #7
All therapists should be under supervision for the entirety of their careers
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Default Oct 07, 2019 at 09:24 AM
  #8
I think they need to admit all they do is guess

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Default Oct 07, 2019 at 09:50 AM
  #9
I think they need to be more admitting of the fact that they might not know us as well as they think they do since they see us such a small % of time and completely out of context of everyday life.
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Default Oct 07, 2019 at 09:57 AM
  #10
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Originally Posted by liveitfullordie View Post
All therapists should be under supervision for the entirety of their careers

Agreed!!!
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Default Oct 07, 2019 at 10:01 AM
  #11
They seem oblivious to the fact that they hurt people. Hey , YOU HURT PEOPLE. I don't think the bad ones can be eradicated , even when the good ones do TRY to.

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Default Oct 07, 2019 at 10:27 AM
  #12
I totally agree with all therapist should be under supervision and also have there own therapy to get a sense of what we go through in therapy.


I think it should always be known what the boundaries are from the very first session like outside contact ect. My last therapist change things on me two years ago and it still hurts allot. I didn't know therapist could be so hard and harsh. I was only allowed 1 session every 4 to 5 weeks, hardly no phone contact. I never broke a boundary but he thought it would help me progress faster.
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Default Oct 07, 2019 at 10:39 AM
  #13
They get away with crap because some clients are for some reason willing to put up with it.

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Default Oct 07, 2019 at 01:55 PM
  #14
Dogmatism and close-mindedness, especially about obviously way too exaggerated claims about the power of the "treatment" and themselves, such as Ts can reparent clients and it is the relationship that heals, in general. Most professionals, these days, agree about the importance of individual differences in principle, but many/often fail to practice that principle. One thing about one person's reactions/behavior can mean one thing, the same in another an entirely different thing. They often get away with not doing much/anything and collecting money, because clients buy into those claims that the profession makes... including the one that if just keeps going, eventually some magic will happen. They should acknowledge more that, in many cases, therapy is simply a form of social interaction, not some kind of systematic procedure or treatment. Why it is so hit or miss.
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Default Oct 07, 2019 at 03:15 PM
  #15
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They get away with crap because some clients are for some reason willing to put up with it.
I'm honestly not trying to be argumentative but I am curious, isn't that kind of blaming the client? As far as being willing to put up with it? It seems an extremely fine line between choosing of free will to put up with something vs because of whatever reason, feeling like you don't have a choice/that's just how it is or "I don't deserve better" or what have you. Again I'm not trying to be a jerk just honestly curious.
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Default Oct 07, 2019 at 07:28 PM
  #16
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Originally Posted by ArtieSwimsOn View Post
I'm honestly not trying to be argumentative but I am curious, isn't that kind of blaming the client? As far as being willing to put up with it? It seems an extremely fine line between choosing of free will to put up with something vs because of whatever reason, feeling like you don't have a choice/that's just how it is or "I don't deserve better" or what have you. Again I'm not trying to be a jerk just honestly curious.
I think Stopdog is referring to abuse dynamics whereby some trauma survivors will react through submission / fawn / freeze response. Not everyone leaves abusive relationships; therapists know this and recognize how to exploit and groom vulnerable survivors in order to get their own needs met. Add to this that many survivors of abuse think that abusive behavior is normal. Effective and ethical therapists are supposed to model healthy relationships; unfortunately this is not always the case. Clients will stay despite the red flags because they know no different, expect no different, believe they don't deserve better and or are caught in trauma bonding. Some therapists will meet client needs long enough to meet their own needs, and in some cases they might even know how to manipulate a client into pure submission and compliance through knowing a clients vulnerabilities.

In short, clients are rarely, if ever, at fault! It is a power imbalance that leans one way - the moment a therapist abuses their power - they are wholly at fault irregardless of circumstances.

Thanks,
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Default Oct 07, 2019 at 08:32 PM
  #17
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Originally Posted by ArtieSwimsOn View Post
I'm honestly not trying to be argumentative but I am curious, isn't that kind of blaming the client? As far as being willing to put up with it? It seems an extremely fine line between choosing of free will to put up with something vs because of whatever reason, feeling like you don't have a choice/that's just how it is or "I don't deserve better" or what have you. Again I'm not trying to be a jerk just honestly curious.
Therapists prey on and benefit from people who don't feel like or recognize they have a choice. Therapists put themselves in a position of power and many people go along with it for various reasons- therapists expect it and use it.
That is what I meant.

The one I hired once complained that the reason therapy was such a bust for me was because my life worked and I had no reason to submit to her - she actually said that.

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Default Oct 07, 2019 at 08:57 PM
  #18
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Therapists prey on and benefit from people who don't feel like or recognize they have a choice. Therapists put themselves in a position of power and many people go along with it for various reasons- therapists expect it and use it.
That is what I meant.

The one I hired once complained that the reason therapy was such a bust for me was because my life worked and I had no reason to submit to her - she actually said that.

Oh okay thank you I should have known better!

And to borrow one of your phrases oh good lord - L hasn't even said that!
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Default Oct 08, 2019 at 12:43 AM
  #19
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Oh okay thank you I should have known better!

And to borrow one of your phrases oh good lord - L hasn't even said that!
It was a good question! It is good you asked, I think others may have had similar questions!

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Default Oct 08, 2019 at 06:33 AM
  #20
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Originally Posted by stopdog View Post
The one I hired once complained that the reason therapy was such a bust for me was because my life worked and I had no reason to submit to her - she actually said that.
One of mine said something similar to me as well when I questioned him why he saw a therapist (and himself) as any kind of authority, other than perhaps an expert in psychology (I think few are, I was surprised many times how little they tend to know about human psychology, behavior and the brain). But then added that some clients have issues with authority... I said, sure, some people have issues with authority either because jerks were in that position and took advantage of them, or simply they just don't need that in most areas and prefer to be autonomous, it works for them.

The comment about choice is an important one, too. I've met many therapists (I meet most of them via my work) and very rarely encountered one who likes to make people more aware that they have a choice, rarely encourage freedom. More often they push those deterministic ideas that if we had difficult childhoods and suffered a great deal of trauma/abuse, the consequences are sort of a life sentence. Sure, many cases demonstrate they can be, but shouldn't a therapist encourage change and breaking out of those negative traps and blocks? To me, that would be more treatment than endlessly dwelling on how parents or whatever external circumstances damaged someone, dissecting old traumas forever etc. And suggesting it is good because being aware of things will make a difference. I think awareness, by itself, makes very little difference - yes, it opens up the possibility for change, but it won't change anything on its own. Actions do, acting differently, making different choices.

I think more Ts should emphasize this much more and focus the interactions on how the client handles their life in general, instead of pulling clients inward and dissecting the relationship and whatever happens in that isolated, stagnant situation inside a small room, between two people who do nothing else but talk. Surely, there are realistic limits to free will, but why to suffocate even the idea, also with promoting things like acceptance sometimes in really BS ways? If we just accept what was given, especially if we continue to accept the same BS from a therapist that is supposed to encourage getting unstuck, how can change ever happen? I think most Ts do speak for change in many ways but often fail to back it with their own actions and example, they don't really walk the talk. Then sometimes say oh it is impossible to see new perspectives and make different choices when someone has suffered so much trauma, we first need to grieve it, and no one can know how long that takes and how it will go. Can grieve and talk forever, then die doing the same.

Last edited by Xynesthesia2; Oct 08, 2019 at 06:56 AM..
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