The Conjunctive Model Of Psychotherapy (An Excerpt)
The psychotherapy process requires the deliberate joining of two human beings, mainly orchestrated by one, and requiring heartfelt collaboration by both. Breaches in the relationship are plumbed for the information they provide, the two continually surprised and inspired as they move to new, uncharted views about what the patient needs and how to get there. Indeed there are rules, procedures, and boundaries, but knowing when these guidelines contaminate the therapy’s authenticity check here trusted cialis suppliers. and sap its power is one of the therapist’s most subtle challenges.
Therapists constantly work to identify how their craft differs from the commonsensical stuff of everyday relationships. They are not supposed to hug their patients, attend their weddings, or even have the smallest need for their patients’ approval. The therapy process is not to be corrupted by patient and therapist embracing too much of their real relationship, as if the technical, less personal aspects of therapy are the most authentically therapeutic.
As therapists, we do not talk much about wanting the patient to respond to the personal influence we may bring to bear in creating desirable change. Struggling, even suffering, in the service of establishing and maintaining an ever more profound connection to the human being otherwise known as “the patient,” may be labeled overinvolvement.
Yet, the pull toward connection, uncomplicated human connection, pervades the therapy experience. Much is known about the ways in which this therapeutic connection can be distorted internally via transference, countertransference; pro-jective identification, and developmental distortions and lags. These complicating developments in therapy represent one source of the impasses I call therapeutic disjunctions (Frankel, 2000), in this case intrapsychically generated. Gender differ-ences, cultural background and real life influences on mood are a few examples of the other category of disju