A Safe Place to Suffer
Psychotherapy With Clients for Whom No Improvement May be Possible
Bibliographic Data
| ID | 20179261 |
|---|---|
| Authors | Alistair Berlin (corresponding author), Robert Brodrick (0000-0002-3882-8722) |
| Year | 2021 |
| Volume | 51 |
| Issue | 3 |
| Pages | 226-240 |
| Publication date | 2021-07-03 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Transactional Analysis Journal (JOURNAL) |
| Journal identifiers | ISSN: 0362-1537 • E-ISSN: 2329-5244 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/03621537.2021.1949177 |
| OpenAlex | W3184341136 |
| Language | EN |
| References cited | 30 |
The authors begin by considering five prognostic trajectories for clients in psychotherapy and linking these to contemporary medical models in order to assist psychotherapists in structuring their thinking about their approach and method. For clients for whom “cure” is not a realistic outcome, alternative therapeutic goals are suggested. A model of psychotherapy for working with individuals who do not experience any substantial long-term benefit from therapy is then offered. Central to this model is the therapist’s recognition of their limited capacity to help the client. Calling on the psychotherapeutic community to discuss “no cure” clients in more detail, they argue that if painful feelings of failure and inadequacy are acknowledged and processed by the therapist, unconsciously abandoning the client may be avoided. The theoretical basis for this model is explored through developmental neurobiology, clinical vignettes, and diagrammatic representation
Feeling · Psychotherapist · Structuring · Therapeutic relationship · Mental Health and Psychiatry · Psychology · Psychotherapy Techniques and Applications · Social Psychology · Transactional Analysis in Psychotherapy
The empirical case for the common factors in therapy
The Efficacy of Cognitive Behavioral Therapy
The Biological Effects of Childhood Trauma
Hospice
Ego State Relational Units and Resistance to Change
Our Greatest Vulnerability in the Therapeutic Encounter
Falling Apart and Getting It Together
The Impact of a Client’s Suicide
Failure and Shame in Professional Practice
A Stark Choice Between Subjectivity and Objectivity in the Therapeutic Relationship
The Place of Failure and Rupture in Psychotherapy
Failing to Do the Job
Failures in the Therapeutic Relationship
The Medical Model in Psychotherapy
Coasting in the Counter‐Transference
| Citation velocity | historical |
|---|---|
| Highly cited | No |