2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
Psychoanalytic psychotherapy, like any other treatment, has its own rules, which are aimed at creating a framework that primarily contributes to recovery and improving the quality of life.
Below I will describe and comment on the rules that I personally adhere to in therapy.
I'll start with the most important rule. The most important rule is that I always act in the interests of the client and take them into account first of all! Everything that happens during therapy is aimed at alleviating suffering and improving the quality of life. That is why I do not work with relatives and people close to me. we already have a subjective attitude towards each other. And this will interfere with work.
The second rule is the strict confidentiality rule. Everything that is said and happens during therapy remains in it. Even if you talk about illegal actions that have already been committed, the confidentiality rule applies. Nobody will know this information. There is an exception to this rule. If I receive information about an impending serious unlawful act (murder or suicide) and consider this information valid, then I have the right to contact law enforcement agencies or for psychiatric help from colleagues. Naturally, I inform about this in advance.
Honesty and openness are also one of the rules. I always answer all questions directly and honestly if the situation requires it.
The meeting always starts and ends at a strictly defined time on a pre-agreed day. We are both financially responsible for violating this rule. If you warn me in less than 24 hours about the cancellation or postponement of the psychotherapy session, then you pay for it. If you are late, then the appointment time is still running, and you also pay for it, even if you have been warned about being late. Also, I am financially responsible: if I warn you about the reschedule or cancellation of the session, then you do not pay for the next meeting. If I am late, then you do not pay for the waiting time. This rule is necessary to reduce the impact of resistance to change. All of us subconsciously (yes, yes! Unconsciously!) Do not want to change because it is scary and often painful. And we strive in every possible way to preserve the state in which we are. Even if it is painful. When a person resists changes, he may suddenly have various situations and conditions that interfere with therapy: breakdown of a vehicle or car, traffic jams, urgent business trips, illnesses, serious conditions in which there is no opportunity and desire to continue therapy. I sometimes come across the fact that a person cannot and does not want to continue therapy because believes that his case does not respond to treatment and there is no prospect. This also applies to resistance to change.
The amount of payment is discussed in advance and will not change without prior discussion. I warn you at least one month before the payment change.
The reception is usually fifty minutes long, but there may be twin appointments if arranged in advance.
There is a ban on business relationships outside of therapy. Neither the therapist nor the patient provide each other with any business services (and even less personal). Only a therapeutic relationship is acceptable.
If a decision is made to end therapy (regardless of who is the initiator), then at least four more meetings are held for a smooth and painless completion. In these wrap-up meetings, treatment outcomes, successes and failures are discussed. summarizes. It is also necessary for the premature and unreasonable completion of therapy.
If you still have questions, you can ask me, and I am ready to answer them.
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