Having now run aground yet again with my latest T, and being forced (yet again) to rethink whether therapy is actually going to help me, I started idly writing down thoughts of what I have been expecting of a therapist. Here’s the list I’ve come up with so far:
A good T will:
Listen carefully to EVERYTHING you say.
Will especially listen to what you are trying to say beneath the actual words (the subtext or ‘latent’ content of a communication.)
Will not interrupt you and will allow for decent pauses and silences and space for you to reflect on what you have been saying before T comments.
Will make every effort at all times to understand your experience, this is what I believe should be the main focus of therapy, that the T come to understand as much as is possible exactly what your experience is like, and on the basis of this understanding will be able to enter into your world, see through your eyes and be really THERE for you. On this basis also the T will be able to offer comments and interpretations that actually draw their meaning from your own experience, not as something imposed from outside.
Will achieve this by taking a stance of not already knowing anything either about you or about psychological models of ‘health’. Ie never assuming that T knows more than you about anything. And never assuming that you ‘fit’ any preconceived ideas or models the T might hold in theoretical knowledge.
Will achieve this by asking relevant questions, that are geared ONLY to eliciting from you more about your feelings, what things mean to you, what you think about things. Ie giving you much needed space and safety to bring out the things that really matter to you without the pressure of having to contend with a ‘real world’ other inferring or judging or expecting anything from you.
Will achieve this by feeding back to you on a constant basis what the T understands you to be conveying. This by REPHRASING in T’s own words what s/he thinks you are trying to say and by being always open to being corrected or having gotten it wrong. The point of this is to always assist you in getting to experience and understand yourself better.
Will achieve this by getting a FEEL for what you are feeling/experiencing and feed this back to you, with a view to encouraging you to feel safe and able to further explore/express your feelings and thoughts.
Will gain as much of an overview as possible of your self/situation/problems and make it clear to you that the T is forming a knowing and deeply understanding cohesive global picture of all the disparate strands you bring to therapy. This way you can trust the T to ‘know’ and keep in mind things that you are unable to hold onto in each moment.
Will WANT to know and understand you.
Will not give advice, or suggestions, or deliver generalized or global homilies about what is normal or desirable, and will not apply theoretical models or explanations of your ‘pathology’.
Will not attempt to ‘reflect’ you in a way that indicates this is how ‘other people’ will respond to you if you behave as you do, thereby implying that you are responsible for how other people treat you.
Will at all times actively foster a process of self discovery for you, not by TELLING you ‘facts’ about yourself, but by reflecting (mirroring) your experience back to you sympathetically and with understanding, and by subtly directing you to reflect on your own words and feelings and beliefs. I believe one of the most important goals of therapy is for the client to accept his/her own truth about him/herself and the world, NOT to have a model of psychological health imposed onto you (ie this is what normal is, this is what you ‘should’ be feeling/not feeling...)
Will NOT challenge or confront you in any way but will always maintain a position of total acceptance, attempting instead of challenging to encourage you to accept and understand everything about yourself. Self discovery is the road to finding meaning in self and the world, not being told what to feel/think/believe, nor being made to experience yourself defensively as wrong or in the wrong.
Will not hide behind so-called relational models of therapy as an excuse to self disclose, put down, criticize, dominate, or lay responsibility for how the T feels onto you.
Anyone got a T that’s remotely like this? Anyone want a T who is like this?
Anyone else got any ideas about what would make a good T? Or better still, the type of T that you personally would want?
LL