Quote:
Originally Posted by Sabra
Good morning,
You may want to read about paradoxical therapy. I don't know if your T is using this or not. I think it dangerous to use on suicidal clients. It is sometimes called prescribing the symptom.
Sabra
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Actually paradoxical therapy is not recommended for suicidal or severely depressed clients.
Studies have shown that the clients misinterpret the statements and that is causes more harm (if not direct suicide, responses like dropping out of therapy, worsening of depression, etc.)
So, if that was the intent, this is a red flag.
Personally, I think the T sounds irresponsible. Even if the T was "permitting" suicide, a follow-up comment about his/her concern for the client should be included to cover multiple feeling responses.
Most experts who treat suicidal clients suggest that T show caring and concern for the client and they even recommend not getting into a "suicide is ok" debate.
Here is a good easy to read reference. Dr. Ken Pope is Ivy League trained and past head of the ethics committee of the American Psychological Association.
See #7 and #10 under 10 Steps to Reduce Risk
Assessing & Responding to Suicide Risk
Does "caring" work for everyone... No, but when you know little about a client in the beginning, you stick with the training and established "research."
Example: Established research shows that paradoxical therapy harms most suicidal clients. Thus, T should avoid it without having an established relationship.
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