Quote:
Originally Posted by archipelago
I just got back from session, worked up instead of feeling better. I'm working at a board and care facility for disabled adults with psychotic disorders. A resident ended up in a locked unit against her will after a series of sloppy and careless moves that involved different entities having power struggles with each other instead of caring about the resident, who frankly did not meet the legal requirements to be held against her will.
I was really bothered by the whole thing, every aspect of it, and felt like I would have to face a conflict when she got back about how to be genuine with her but not really allowed to say how wrong I thought things were and how badly I thought she was treated.
I expressed this in session since we are strongly encouraged to use our personal therapy for things that come up while being an intern. Also I am not sure that I would want to raise this with my supervisor since he has a very distant approach and I am also not sure if our relationship is confidential.
My therapist compared my experience to his experience as a resident in a locked ward. He seems to think that drawing this parallel somehow helps. He ended up just saying that with these "lifers" as he called them, this would be one of my challenges, to handle the fact that they no longer have autonomy.
I don't feel like anything got resolved. In fact, I feel worse. One of the things that has been happening is that I feel a divide between the clients and how the "system" treats them, and I am clearly aligned on the side of the clients. When my own therapist starts feeling like he is also aligned with the "system" I start to feel very alone and demoralized.
|
I'm so sorry this all sounds very traumatic, and I'm not sure that the comparison that your T made is appropriate. I have PTSD because I was held against my will. The experience could have been severely traumatic for the client, and is not tantamount to being shut in a care facility, especially if your client was trying to find away to escape. I would say that her distress level as a result of the situation is the most important thing, and your distress about being forced to be complicit in such a situation is also critical, and should be recognized. The fact that people in the mental health care system want to force T's to just accept things like this as part of the system really pisses me off. Things like this can retraumatize a client, and therapists should have no allegiance to anyone but their client. The only thing that should ever be accepted as treatment is that which fits the definition of care. All other acts should be suspect and actionable.
If you are at all interested in thinking about the institution context in which you work though another sort of lens I strongly suggest Michel Foucault's
Madness and Civilization if you have never read it.
Madness and Civilization - Wikipedia, the free encyclopedia