2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
The result of psychoanalytic therapy is persistent and stable changes. In order for psychological therapy to be successful and change to occur, a sense of security is necessary for, in general, to be able to change. Safe space does not arise by itself, it is formed by the therapist, the patient himself, the rules in therapy and professional ethics. And with the help of this, the psychotherapist accompanies the patient on a journey through his psyche, the search for internal unresolved conflicts, the search for new, more mature, ways to resolve them.
I would include in professional ethics not only the ethical norms themselves, but also the psychoanalyst's attitude to the rules and boundaries in therapy - the psychoanalytic setting. A setting is: a constant place, a constant time, the same duration of receptions, the frequency of meetings, a certain form and amount of payment. Adherence to the setting allows us to engage in therapy, and not just satisfaction of the deepest needs of the patient or psychoanalyst.
To prevent the patient from being used only for the psychoanalyst's needs, there is a professional ethics that helps move towards achieving the exposure of the patient's quality of life.
I will list the main positions of the ethical code:
- the therapist chooses the technique and methods of therapy, mainly in the form of dialogue and the translation of unconscious feelings and impulses into conscious ones;
- a specialist can, at his discretion, refuse professional help from his personal convictions, professional, if the tasks and goals seem to him unrealistic or harmful to the patient;
- the expression of feelings and thoughts by the patient should not be restrained by inappropriate intervention of the psychoanalyst;
- the therapist has the right to correctly stop the abusive behavior of the patient, and the therapist also has the right to set the boundaries of the therapeutic work;
- the attitude of the therapist and the patient is in itself therapeutic, in order to preserve their value, they should not go beyond the therapy (the therapist has no right to use the patient to obtain material and moral benefits outside of therapy);
- the relationship between the therapist and the patient is negotiated in a psychoanalytic contract, assistance is provided within the framework of this contract;
- it is impossible to subject the patient to therapy without his consent and against his will, if the patient is under 18 years old, the consent of his parents or legal guardians is required;
- the therapist strictly adheres to the rule of confidentiality, disclosure of information is possible only with the written permission of the patient; the information provided in the articles, the report should be prepared in such a way that it would not be possible to identify the patient; the exception is the presence of a real danger to the patient himself or to society;
- the therapist does not receive commission when transferring the patient to another specialist;
- payment is discussed with the patient, its amount must be acceptable to both parties;
- the patient and therapist are financially responsible for missing therapy sessions.
Since I would like to dwell in more detail on the professional competence of a psychoanalyst (psychotherapist), I will describe this topic in detail in the next article.
If you have any questions, you can ask me, and I am ready to answer them.
Mikhail Ozhirinsky - psychoanalyst, group analyst.
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