2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
We all fail sometimes, both personally and professionally. Likewise, psychoanalysts fail at work. This applies to both group forms of work and personal consultations. It is worth accepting the fact that there are no one hundred percent effective psychotherapeutic methods and absolutely effective analysts. Psychology and psychotherapy can be objectively considered the most scientifically primitive among all other sciences and professions.
Therefore, it is not surprising that the failure rate is quite high. Up to fifty percent of patients, in individual therapy and psychoanalytic groups, terminate therapy prematurely and refuse the professional help that is so needed at the moment. Usually, at the moment, a person's symptoms intensify, in which: the feeling of loneliness intensifies, depression intensifies, the feeling of confusion and loss is extremely strong, self-esteem decreases, an inadequate sense of guilt is constantly present, there is a permanent desire to flee from problems and not contact them in any way, are violated and weakening interpersonal relationships. At the same time, there is a lot of anger at the psychoanalyst and psychotherapeutic help, a lot of bitterness and disappointment.
Withdrawal from therapy can vary. The person may warn that they no longer want to go to individual or group sessions. He may just stop walking and find various excuses for this. Some just disappear without explanation. The process of exiting therapy is always painful for both parties. Both for the outgoing person and for the psychoanalyst. If we are talking about group therapy, then for the group. The desire to end therapy is associated with the strengthening of psychological defenses when a person is faced with something very painful, but very important. It's very hard to deal with your traumatic experiences when you are not ready for it. Not everyone is able to withstand therapeutic pressure and negativity, and in a group - various emotional reactions from others, including aggression from other participants. It is difficult to overcome the fear of self-disclosure, the emergence of strong feelings during therapy, the development of relationships in the group between the participants. Some are afraid of the negative impact of newly discovered problems for themselves, and in the group the problems of others. Often, psychosomatic complaints are exacerbated, forcing not to develop and solve problems, but to switch to attempts to normalize the state when they do not understand what is happening and what is causing it.
Also, the therapist may be responsible for patient care. He may not make interpretations successfully: at the wrong time, without observing the necessary tact, without using my empathy, and I do not want to feel the patient at the most painful moment.
On more than one occasion, I have seen my colleagues push individual and group patients to leave with untimely or overly painful interpretations. But not only could they not have guessed and guessed this, but other specialists would not have been ready for this either. This fact only emphasizes that anyone can make mistakes, not all mistakes depend on us. the mental organization of each person is so complex that no one can fully study it.
If you have questions about mistakes and failures in group and individual therapy, I would be happy to answer them.
Mikhail Ozhirinsky - psychoanalyst, group analyst.
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