in laymans non professional terms it is a therapy where a person talks with their therapist. you will have very firm rules and boundaries. the therapist will not breach those rules and boundaries no matter what. you will be seeing your therapist at the very least once a week and at the most twice a week, depends on what your transference issues are.

Transference in this kind of therapy is not the kind you see on the internet of falling in love with your therapist. its the kind where you expect or want others to take care of you, expect or want to place blame on others for your problems and choices, or instead of facing problems and taking care of them you act out in negative ways like suicide attempts, self injury or mentally escape the problems (example daydreaming, dissociating and other mental ways of escaping taking care of yourself and your problem) in other words instead of taking care of a problem for some reason a person may be transfering that problem into something or someone else and someone elses responsibility. or self sabotaging treatment.

using this therapy approach you are going to be setting up very strict rules and boundaries, goals focused on you learning what your problems are, and learning how to take care of them with out transferring the problem into being a suicide attempt , a self injury attempt or transferring it into being the therapists or other peoples responsibility to take care of you and solve your problems. and you will be held accountable for lack of progress / self sabotaging therapy.

it is going to make you angry because your therapist is going to be re directing you with saying things like "Im sorry but its not my job to stop you from doing this, what can ...You.........do about this." "I understand you are angry right now but lets not focus on blaming others for what happened, tell me about what happened in terms of your own behaviors, your own choices, do you think there may be another way to handle this problem then expecting such and such...." and things like "so what you are telling me is you did not follow through with your side of our contract, which is called self sabotaging your therapy. you need to decide why you are here and if you want to participate in your therapy process, other wise I may have to terminate therapy with you. tell me what do you expect to get out of coming to see me?"

in other words in this kind of therapy the therapist is purposely not going easy, is going to be making you actually work on solving your problems and if there are any negative behaviors like self injury and suicide attempts there will be sort of consequences (ie that session may have to end and you may have to be transported to the hospital for a 72 hour stay if thats what your treatment plan, rules and goals are for around this kind of thing) if you do not do the work and homework on you and your problems then therapy with that therapist may have to end because you are self sabotaging the sessions.

its going to put you in the position where you are responsible for your own self care and whether or not you get better.

most treatment providers in the USA use a this therapy to various levels depending upon what their clients problems are, whether they need "contracts" and be held accountable for negative behaviors that may be affecting the sessions and their healing progress.

many USA states are adding more and more of this therapy in as the health care system is changing and requiring treatment providers to answer to why clients are in their care long term rather than addressing their problems and moving out of constantly needing a therapist.

the various governments and insurance companies are now swamped with waiting lists for treatment so there has to be some changes on how therapy is run, therapy isnt for someone to stay stuck in their problems, its for going in, setting treatment goals and accomplishing those goals then move on out into the real world and use what you learned in therapy.

as the government is starting tho hold therapists accountable therapists in turn are using this therapy to hold their clients accountable for their own therapy process. ultimately a therapist cant be with someone 24/7 taking care of them and their problems. its the clients job to do this so this therapy puts things back in the cleints hands of holding them accountable for their problems and whether they get better or not.

its not easy and it will make you feel angry as your therapist makes you focus on you and your behaviors and being held accountable for why your problems are not getting better.