Pub Date : 2023-07-03DOI: 10.1080/13642537.2023.2246844
Alison Vaspe
or implicitly. Saketopoulou’s project makes this political dimension crystal clear, taking a stance on issues on which the psychoanalytic community has been – and, in many cases, continues to be – less than hospitable for queer subjects. In this book, queer subjects can find a welcoming space for their experiences, an approach to the unconscious worthy of them. Saketopoulou describes participants to exigent sadism as bearing ‘two distinct experiences in an intense moment of intimate connections’ (p. 185): that, I would argue, can also be said about her readers and herself. The author would like to express his gratitude to Anna Papadaki for editing the text in English.
{"title":"The Marion Milner method: Psychoanalysis, autobiography, creativity","authors":"Alison Vaspe","doi":"10.1080/13642537.2023.2246844","DOIUrl":"https://doi.org/10.1080/13642537.2023.2246844","url":null,"abstract":"or implicitly. Saketopoulou’s project makes this political dimension crystal clear, taking a stance on issues on which the psychoanalytic community has been – and, in many cases, continues to be – less than hospitable for queer subjects. In this book, queer subjects can find a welcoming space for their experiences, an approach to the unconscious worthy of them. Saketopoulou describes participants to exigent sadism as bearing ‘two distinct experiences in an intense moment of intimate connections’ (p. 185): that, I would argue, can also be said about her readers and herself. The author would like to express his gratitude to Anna Papadaki for editing the text in English.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"70 1","pages":"320 - 323"},"PeriodicalIF":0.2,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84932180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-03DOI: 10.1080/13642537.2023.2240809
Joanne Hunt
ABSTRACT Narratives within mainstream psy disciplines around ‘medically unexplained symptoms’ (MUS), as constructed through (bio)psychosocial theorising, have been charged with promoting victim blaming. Psychosocial discourse and practice within this field are also critiqued on grounds of inadequate empirical support and associated with patient harms, yet (bio)psychosocial hegemony persists. Understanding what drives current practice and attendant victim blaming in the field of MUS is therefore important in challenging dominant discourse and changing psychotherapy practice, thus precluding patient harm. In this article, practitioner psychology is explored through a critical lens, locating this within a context of organisational and biopolitical influences which likely reinforce mainstream theory and practice. It is argued that victim blaming tendencies within dominant discourse around MUS may serve relational, existential and epistemic needs for practitioners and social actors more broadly, alongside fulfilling a need to assert moral value in the face of social injustices that threaten the neoliberal ‘just world’ view. In other words, (bio)psychosocial constructions of MUS satisfy society’s need to create and ascribe to a shared reality, dominated by a belief in a just, meaningful and relatively predictable world that justifies the status quo. Critical reflexivity is emphasised as a starting point for transforming practice.
{"title":"An exploration of victim blaming in ‘medically unexplained symptoms’: Neoliberalism and the need to justify the self, group and the system","authors":"Joanne Hunt","doi":"10.1080/13642537.2023.2240809","DOIUrl":"https://doi.org/10.1080/13642537.2023.2240809","url":null,"abstract":"ABSTRACT Narratives within mainstream psy disciplines around ‘medically unexplained symptoms’ (MUS), as constructed through (bio)psychosocial theorising, have been charged with promoting victim blaming. Psychosocial discourse and practice within this field are also critiqued on grounds of inadequate empirical support and associated with patient harms, yet (bio)psychosocial hegemony persists. Understanding what drives current practice and attendant victim blaming in the field of MUS is therefore important in challenging dominant discourse and changing psychotherapy practice, thus precluding patient harm. In this article, practitioner psychology is explored through a critical lens, locating this within a context of organisational and biopolitical influences which likely reinforce mainstream theory and practice. It is argued that victim blaming tendencies within dominant discourse around MUS may serve relational, existential and epistemic needs for practitioners and social actors more broadly, alongside fulfilling a need to assert moral value in the face of social injustices that threaten the neoliberal ‘just world’ view. In other words, (bio)psychosocial constructions of MUS satisfy society’s need to create and ascribe to a shared reality, dominated by a belief in a just, meaningful and relatively predictable world that justifies the status quo. Critical reflexivity is emphasised as a starting point for transforming practice.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"1995 1","pages":"278 - 300"},"PeriodicalIF":0.2,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82445805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-03DOI: 10.1080/13642537.2022.2143607
D. Loewenthal
‘Why can’t we explore with clients what we used to be able to?’ This was from a supervisee where her client had described successfully instigating sex with a waiter when she called at night for the hotel’s room service and the therapist hesitated exploring this with her client/patient for concern she might be seen as against feminism. For the psychotherapist/psychological therapist it would appear that notions of diversity and inclusion are both increasingly important, and yet increasingly difficult, to be thought about with their clients. Are such difficulties to do with the biases of the person who is the psychotherapist and/or could it also sometimes be to do with how diversity, inclusion and related terms are constructed? Overall, the current quest for ‘Diversity and Inclusion’ might be seen by many as both for the good yet complex. However, for others to question how diversity and inclusion is conceptualised can be unacceptable as it questions their very right to exist, and for yet others to get involved in any culture wars is to fiddle whilst Rome (the World) burns. Furthermore, this quest for diversity and inclusion can too frequently lead to culture war brick walling. Crucially, our inability to be clear ourselves on issues of diversity and inclusion as psychotherapists may threaten our very project. This has been where traditionally clients have been able to come to us to explore what they can’t elsewhere. For clients may now find it difficult to find a therapist who is able to explore with them their concerns around diversity and inclusion which can be complicated and may take time to consider. So when is it diversity and when is it perversity and who decides? Similarly, who and what should be included and excluded from what and by whom? Other questions include whether these changes, in what might be considered EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING 2023, VOL. 25, NOS. 1–2, 1–11 https://doi.org/10.1080/13642537.2022.2143607
{"title":"Diversity, inclusion and culture wars: Everything a psychotherapist should need to know about ‘intersectional feminist, trans*, critical race/whiteness, migration, (in)equality, queer, disability, post-colonial, decolonial, approaches and studies’ but is too afraid to ask?","authors":"D. Loewenthal","doi":"10.1080/13642537.2022.2143607","DOIUrl":"https://doi.org/10.1080/13642537.2022.2143607","url":null,"abstract":"‘Why can’t we explore with clients what we used to be able to?’ This was from a supervisee where her client had described successfully instigating sex with a waiter when she called at night for the hotel’s room service and the therapist hesitated exploring this with her client/patient for concern she might be seen as against feminism. For the psychotherapist/psychological therapist it would appear that notions of diversity and inclusion are both increasingly important, and yet increasingly difficult, to be thought about with their clients. Are such difficulties to do with the biases of the person who is the psychotherapist and/or could it also sometimes be to do with how diversity, inclusion and related terms are constructed? Overall, the current quest for ‘Diversity and Inclusion’ might be seen by many as both for the good yet complex. However, for others to question how diversity and inclusion is conceptualised can be unacceptable as it questions their very right to exist, and for yet others to get involved in any culture wars is to fiddle whilst Rome (the World) burns. Furthermore, this quest for diversity and inclusion can too frequently lead to culture war brick walling. Crucially, our inability to be clear ourselves on issues of diversity and inclusion as psychotherapists may threaten our very project. This has been where traditionally clients have been able to come to us to explore what they can’t elsewhere. For clients may now find it difficult to find a therapist who is able to explore with them their concerns around diversity and inclusion which can be complicated and may take time to consider. So when is it diversity and when is it perversity and who decides? Similarly, who and what should be included and excluded from what and by whom? Other questions include whether these changes, in what might be considered EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING 2023, VOL. 25, NOS. 1–2, 1–11 https://doi.org/10.1080/13642537.2022.2143607","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"50 1","pages":"1 - 11"},"PeriodicalIF":0.2,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86601600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-17DOI: 10.1080/13642537.2022.2156119
Artemis Christinaki
ABSTRACT This paper discusses humanitarian compassion within the Derridean notion of hospitality. Reflecting on the age of Imperial Humanitarianism where Evangelists formed administrative missions to save the souls of the slaves in the colonial provinces of Europe, it aims to address the link of compassion with Christianity and colonialism. Setting the Christian scene of humanitarianism, hospitality as a Derridean concept is introduced to depict that compassion and aid work in-between certain ‘guest and host’ territories. The impossibility of hospitality under these circumstances highlight the play of power relations in which the other is produced. While Derrida argues that hospitality cannot be power-balanced unless the language of the host is deconstructed, psychology in the humanitarian sector performs an ‘emotional hospitality’ which seeks to extract a story of confession. Ψ as method works to open a discussion on suffering, Christianity, and colonialism as a modern form of conversion: the confession of truth in a psychological discourse. Challenging compassion and aid as constituted in psychological discourse, this paper invites therapists to rethink the contextualisation under which these ideals emerged while introducing a discussion on what the language of psychology 'does' to refugees.
{"title":"Deconstructing humanitarian compassion: Ψ as method","authors":"Artemis Christinaki","doi":"10.1080/13642537.2022.2156119","DOIUrl":"https://doi.org/10.1080/13642537.2022.2156119","url":null,"abstract":"ABSTRACT This paper discusses humanitarian compassion within the Derridean notion of hospitality. Reflecting on the age of Imperial Humanitarianism where Evangelists formed administrative missions to save the souls of the slaves in the colonial provinces of Europe, it aims to address the link of compassion with Christianity and colonialism. Setting the Christian scene of humanitarianism, hospitality as a Derridean concept is introduced to depict that compassion and aid work in-between certain ‘guest and host’ territories. The impossibility of hospitality under these circumstances highlight the play of power relations in which the other is produced. While Derrida argues that hospitality cannot be power-balanced unless the language of the host is deconstructed, psychology in the humanitarian sector performs an ‘emotional hospitality’ which seeks to extract a story of confession. Ψ as method works to open a discussion on suffering, Christianity, and colonialism as a modern form of conversion: the confession of truth in a psychological discourse. Challenging compassion and aid as constituted in psychological discourse, this paper invites therapists to rethink the contextualisation under which these ideals emerged while introducing a discussion on what the language of psychology 'does' to refugees.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"24 1","pages":"127 - 144"},"PeriodicalIF":0.2,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87685525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-21DOI: 10.1080/13642537.2022.2156158
J. Sedgwick
ABSTRACT There is fundamental confusion and notable omissions within counselling and psychotherapy’s adoption of diversity principles. This prevents the profession from achieving its aims of more respectful and efficacious clinical practice with certain populations. The article argues that uncritical over-reliance on ideas from outside the profession has resulted in a failure to appraise which groups might require specific attention. Unacknowledged confusion between celebratory and critical approaches to diversity is also identified as a source of practical muddle. Putatively radical assertions about understanding minority group experience are shown to actually exclude valuable ways of understanding social disadvantage, which might better enhance our understanding and efficacy. The article concludes by suggesting that the multiple difficulties within the profession’s embrace of diversity can be understood in terms of a refusal to reconsider the theoretical, economic and organisational foundations of our therapeutic work to which questions of diversity pose a serious challenge. A case is made for a more open discussion of the relevant issues accompanied by a call for revised professional organization to support knowledge production.
{"title":"Therapy and diversity – an (un)therapeutic relationship?","authors":"J. Sedgwick","doi":"10.1080/13642537.2022.2156158","DOIUrl":"https://doi.org/10.1080/13642537.2022.2156158","url":null,"abstract":"ABSTRACT There is fundamental confusion and notable omissions within counselling and psychotherapy’s adoption of diversity principles. This prevents the profession from achieving its aims of more respectful and efficacious clinical practice with certain populations. The article argues that uncritical over-reliance on ideas from outside the profession has resulted in a failure to appraise which groups might require specific attention. Unacknowledged confusion between celebratory and critical approaches to diversity is also identified as a source of practical muddle. Putatively radical assertions about understanding minority group experience are shown to actually exclude valuable ways of understanding social disadvantage, which might better enhance our understanding and efficacy. The article concludes by suggesting that the multiple difficulties within the profession’s embrace of diversity can be understood in terms of a refusal to reconsider the theoretical, economic and organisational foundations of our therapeutic work to which questions of diversity pose a serious challenge. A case is made for a more open discussion of the relevant issues accompanied by a call for revised professional organization to support knowledge production.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"17 1","pages":"29 - 43"},"PeriodicalIF":0.2,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85452266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-20DOI: 10.1080/13642537.2022.2156144
T. McSherry
ABSTRACT The aim of this article is to explore phenomenologically how the ‘inside’ (psychical) and ‘outside’ (the other and/or society) interweave since it appears that sometimes those of us who favour diversity may also inadvertently shut it down. Phenomenology appears to open more easily onto what we don’t want to know about in our everyday lives, or a turning away which impedes diversity. If we cannot hear our own thoughts that come to us from the ‘inside’, then how can we move towards diversity on the ‘outside’. The tensions between turning away and turning towards leads into a Freudian look at conscience and aggression, and Lacan’s idea of the ego being the seat of identification and misrecognition. Freud’s observation of an ‘original’ aggression towards the other appears especially important. It is argued that this aggression always fragments the movement towards diversity. Two factors appear to mediate this movement, namely a ‘negative’ exclusion, and a ‘positive’ ameliorative ‘law’. Two fictional accounts are given from everyday life reflecting societal and psychical aggression, including its ‘privacy’ or sensual meanings.
{"title":"Diversity and aggression: A reflection on sensual meanings and an ameliorative law after Freud and Lacan","authors":"T. McSherry","doi":"10.1080/13642537.2022.2156144","DOIUrl":"https://doi.org/10.1080/13642537.2022.2156144","url":null,"abstract":"ABSTRACT The aim of this article is to explore phenomenologically how the ‘inside’ (psychical) and ‘outside’ (the other and/or society) interweave since it appears that sometimes those of us who favour diversity may also inadvertently shut it down. Phenomenology appears to open more easily onto what we don’t want to know about in our everyday lives, or a turning away which impedes diversity. If we cannot hear our own thoughts that come to us from the ‘inside’, then how can we move towards diversity on the ‘outside’. The tensions between turning away and turning towards leads into a Freudian look at conscience and aggression, and Lacan’s idea of the ego being the seat of identification and misrecognition. Freud’s observation of an ‘original’ aggression towards the other appears especially important. It is argued that this aggression always fragments the movement towards diversity. Two factors appear to mediate this movement, namely a ‘negative’ exclusion, and a ‘positive’ ameliorative ‘law’. Two fictional accounts are given from everyday life reflecting societal and psychical aggression, including its ‘privacy’ or sensual meanings.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"71 1","pages":"145 - 158"},"PeriodicalIF":0.2,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76396259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-19DOI: 10.1080/13642537.2022.2156157
G. Proctor
ABSTRACT This paper is a commentary on the articles in this special issue on diversity and inclusion. The concepts of diversity and inclusion are critiqued, and a critical diversity approach is promoted. The difficulties and strengths for the profession of counselling and psychotherapy adopting this approach are explored. Ableism is raised as an issue with a plea for ongoing deconstruction of language and attention to inequalities both within and without the profession.
{"title":"Diversity in counselling & psychotherapy","authors":"G. Proctor","doi":"10.1080/13642537.2022.2156157","DOIUrl":"https://doi.org/10.1080/13642537.2022.2156157","url":null,"abstract":"ABSTRACT This paper is a commentary on the articles in this special issue on diversity and inclusion. The concepts of diversity and inclusion are critiqued, and a critical diversity approach is promoted. The difficulties and strengths for the profession of counselling and psychotherapy adopting this approach are explored. Ableism is raised as an issue with a plea for ongoing deconstruction of language and attention to inequalities both within and without the profession.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"43 1","pages":"198 - 209"},"PeriodicalIF":0.2,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82032955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-19DOI: 10.1080/13642537.2022.2156148
Silva Neves
ABSTRACT This article is a response to the papers in this special issue. It argues that change and learning is necessary to keep a contemporary psychotherapy practice. However, it asserts that change is also difficult because allowing ourselves to face our ‘blind spots’ may provoke uncomfortable feelings such as shame. It is therefore important for psychotherapists to be robust in managing the discomfort of learning. With this in mind, the article comments on the papers in this issue, which pay attention to the diversity of our modern populations – including LGBTQ+ people, people of diverse ethnic and racial identities and disabled people. The article argues that by embracing diversity the psychotherapy profession can continue to evolve, enabling it to support diverse communities in the best way possible. It asserts that each of the articles in this special issue invites the reader into a deep self-reflection, helping them to consider all the nuances of difference constructively.
{"title":"Contemporary psychotherapy: Evolution in our modern time","authors":"Silva Neves","doi":"10.1080/13642537.2022.2156148","DOIUrl":"https://doi.org/10.1080/13642537.2022.2156148","url":null,"abstract":"ABSTRACT This article is a response to the papers in this special issue. It argues that change and learning is necessary to keep a contemporary psychotherapy practice. However, it asserts that change is also difficult because allowing ourselves to face our ‘blind spots’ may provoke uncomfortable feelings such as shame. It is therefore important for psychotherapists to be robust in managing the discomfort of learning. With this in mind, the article comments on the papers in this issue, which pay attention to the diversity of our modern populations – including LGBTQ+ people, people of diverse ethnic and racial identities and disabled people. The article argues that by embracing diversity the psychotherapy profession can continue to evolve, enabling it to support diverse communities in the best way possible. It asserts that each of the articles in this special issue invites the reader into a deep self-reflection, helping them to consider all the nuances of difference constructively.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"39 1","pages":"179 - 197"},"PeriodicalIF":0.2,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76540778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-19DOI: 10.1080/13642537.2022.2156138
Nicole Chew-Helbig
ABSTRACT Featured in this article is a psychotherapy case study recounted from the lived experience of the psychotherapist working with an asylum seeker from Afghanistan, with the help of a translator. The method applied is an aesthetic inquiry adapted from Autoethnography which engages the practitioner as the researcher who enters the ‘field’ of the therapy situation. The reflexive writing of the case story, which is integral to the method, sets off a heuristic process, integrating research and practice. Reading this case study, one may grasp the nuances and the atmosphere of an otherwise linguistically challenging therapeutic situation. The story and Gestalt therapy theory are weaved together, which makes palpable, intangible aspects of the therapeutic process.
{"title":"A psychotherapist’s lived experience in-session with an asylum seeker and translator: An autoethnographic case study","authors":"Nicole Chew-Helbig","doi":"10.1080/13642537.2022.2156138","DOIUrl":"https://doi.org/10.1080/13642537.2022.2156138","url":null,"abstract":"ABSTRACT Featured in this article is a psychotherapy case study recounted from the lived experience of the psychotherapist working with an asylum seeker from Afghanistan, with the help of a translator. The method applied is an aesthetic inquiry adapted from Autoethnography which engages the practitioner as the researcher who enters the ‘field’ of the therapy situation. The reflexive writing of the case story, which is integral to the method, sets off a heuristic process, integrating research and practice. Reading this case study, one may grasp the nuances and the atmosphere of an otherwise linguistically challenging therapeutic situation. The story and Gestalt therapy theory are weaved together, which makes palpable, intangible aspects of the therapeutic process.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"38 1","pages":"44 - 59"},"PeriodicalIF":0.2,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81298734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-19DOI: 10.1080/13642537.2022.2156132
Laura Evers
ABSTRACT The taboo of therapist self-disclosure and literature addressing disclosure and disability issues from a psychodynamic perspective is explored. Research on disclosure decisions among physically impaired practitioners is limited. Interpretative Phenomenological Analysis qualitative research methodology was employed to understand the lived experience of psychodynamic practitioners with sight impairment to understand disclosure decision-making processes in a therapeutic setting. Six participants self-identified as sight impaired psychodynamic practitioners and were interviewed using a semi-structured questionnaire. Findings showed that the experience of working as a practitioner with sight impairment is a tenacious endeavour, requiring high levels of self-awareness and determination in navigating the minefield of self-disclosure, daring to be seen by others, holding the patient’s need to be seen and journeying through loss and acceptance of the changing self. Results showed that there is an inverse relationship between likelihood to self-disclose sight impairment and the extent to which practitioners work with unconscious process and transference. Ultimately, the capacity to reclaim disavowed parts of the self, defined therapists’ ability to make therapeutic disclosure decisions. Suggestions for future research, clinical and ethical implications are provided plus recommendations for impaired practitioners and those who work with difference.
{"title":"Being seen: The lived experience of psychodynamic practitioners disclosing or not disclosing sight impairment","authors":"Laura Evers","doi":"10.1080/13642537.2022.2156132","DOIUrl":"https://doi.org/10.1080/13642537.2022.2156132","url":null,"abstract":"ABSTRACT The taboo of therapist self-disclosure and literature addressing disclosure and disability issues from a psychodynamic perspective is explored. Research on disclosure decisions among physically impaired practitioners is limited. Interpretative Phenomenological Analysis qualitative research methodology was employed to understand the lived experience of psychodynamic practitioners with sight impairment to understand disclosure decision-making processes in a therapeutic setting. Six participants self-identified as sight impaired psychodynamic practitioners and were interviewed using a semi-structured questionnaire. Findings showed that the experience of working as a practitioner with sight impairment is a tenacious endeavour, requiring high levels of self-awareness and determination in navigating the minefield of self-disclosure, daring to be seen by others, holding the patient’s need to be seen and journeying through loss and acceptance of the changing self. Results showed that there is an inverse relationship between likelihood to self-disclose sight impairment and the extent to which practitioners work with unconscious process and transference. Ultimately, the capacity to reclaim disavowed parts of the self, defined therapists’ ability to make therapeutic disclosure decisions. Suggestions for future research, clinical and ethical implications are provided plus recommendations for impaired practitioners and those who work with difference.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"78 1","pages":"60 - 88"},"PeriodicalIF":0.2,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83059507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}