2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
Who is not helped by psychotherapy?
- Are you a psychologist?
-Yes.
- And what are you doing?
- In terms of?
- Any procedures, injections?
- No.
- Just talking?
-Yes.
- Well, at least you ascribe pills?
- No, I'm not a doctor, I'm a psychologist.
Telephone conversation with a failed client
Currently, there is a certain demand for psychological assistance. This is due, firstly, (culturally and socially) to an increase in the situation of uncertainty and the need for choice in the modern world, and as a consequence of this - anxiety in a modern person, and secondly (psychologically) - an increase in the level of psychological culture of the population.
Of particular interest is the second factor - psychological, since social and cultural factors that determine the need for psychological help have existed at all times. However, it is the appearance in the consciousness of a modern person of psychological culture - knowledge of psychology and psychological problems - that forms the latter's need for psychological help. For this reason, the first clients of a psychologist / psychotherapist after the appearance of these specialists were graduates of psychological faculties.
Psychological therapy "works" by means of a word that affects the client's consciousness, in contrast to medicine, which "works" at the physiological level and does not imply the patient's involvement in the treatment process. Psychotherapy appeals to the client's consciousness and presupposes a certain degree of activity, awareness, reflexivity, that is, his involvement in the therapeutic process. Medicines act against the will of a person, regardless of whether he believes or not in their action. The impact of psychotherapy is largely based on the client's faith in it. With some degree of convention, we can say that "Therapy is magic that works if you believe in it!"
Therefore, the client of the psychologist / psychotherapist has different requirements than the patient of the doctor. If the patient needs to obediently and accurately fulfill the doctor's prescriptions for a successful cure, then there are more such requirements for the client of the psychologist / psychotherapist.
The definition of a client as a person who has problems is incomplete. Not every person who has any difficulties can be classified as a client. Even if we recognize the fact that every person has problems, then, perhaps, not all of them relate to problems of a psychological level. In turn, not every person who has psychological difficulties is aware of them as such.
We can consider such people to be conditional or potential clients. This does not mean that they will rush to your appointment. And even if such a person ends up in your office, it is not a fact that he will automatically become your clients. There are also a number of conditions, the presence of which will allow you to identify the person who is in your office as a client. Let's try to highlight these conditions. In my opinion, they are as follows:
1. Voluntariness;
2. Acknowledgment of authorship of their problems;
3. Recognition of their problems as psychological problems;
4. Recognition of the fact that psychotherapy helps (the presence of elements of the psychological picture of the world);
5. Recognition of a psychologist / psychotherapist as a professional.
Only the presence of all of the above conditions gives us the basis to define a person who is at the reception of a psychologist / psychotherapist as a client. How the therapeutic contact develops in the future depends largely on the skill of the psychologist / therapist.
Let's consider examples of insufficiency (deficiency) of conditions:
1. Involuntary seeking psychological help. Situation: Someone else brings (sends) a person to a psychologist (parents - child; spouse - spouse; teacher - student, etc.). Message - "Something is wrong with him … Do something with him)";
2. Non-recognition by a person of the authorship of his problems. Situation: A person voluntarily comes to a specialist, but believes that someone else is to blame for his problems (spouse, parent, child, boss …). Message - "If not for him …";
3. Non-recognition of their problems as psychological problems. Situation: A person voluntarily comes to a specialist, but believes that the problem he has is caused by non-psychological reasons. Message - "Give me advice, recipe …";
4. Failure to recognize that therapy is helping. Situation: The person does not seek psychological help. Message - "I know your therapy …"
5. Non-recognition of the psychotherapist as a professional. Situation: A person turns to a specialist for competitive reasons. Message: "I know better …"
And one more, in our opinion, an important condition: the client must pay for himself … Experience shows that if the client does not pay himself, he does not take responsibility for the therapy. Pay is known to create additional motivation for work, as well as give the client a sense of autonomy from the psychologist / therapist.
Let's try now to give a working definition of a client.
A client is a person who voluntarily turned to a specialist for psychological help, identifies his problems as psychological problems, recognizes his contributions to their occurrence, and also recognizes a psychologist / therapist as a specialist who can help solve them.
Thus, a psychologist / psychotherapist will not help you if you:
- You think that there are no psychological problems;
- Don't believe in psychology / psychotherapy;
- Do not recognize the authority of a psychologist / psychotherapist;
- You think that Other people, circumstances, etc. are to blame for your problems;
- Not ready to actively participate in the process of solving their problems;
- You are waiting for ready-made advice, solutions, prescriptions, recipes from a psychologist / psychotherapist.
For nonresidents, it is possible to consult and supervise via Skype.
Skype
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