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Originally Posted by SarahSweden
I don't have any actual figures on this but it's for sure a lot that points to my conclusion. I know some countries have a referall policy and that's one thing. But I believe most therapists will leave their clients when being criticised or when clients behave in a difficult way.
Some will refer the client, some will just abandon them. Reading on this forum and many else tells me abandonment, ruptures and termination belongs to one the most common topics.
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I agree. I'm currently training to be a therapist (2nd year of PsyD). We just don't get trained for critical scenarios that way. We get trained well to tell organic and mental problems apart. When to refer someone to a psychiatry or a blood test.
On how to negotiate actual ruptures...very few material is available. Most of my classmates are not interested in such topics, and they think I'm overly cautious and think I would be the first to burn out. Usually it's just "get supervision when it's a current issue, duh". But then, I'm not sure how getting a supervision would work out for therapists if they face an issue they never prepared for. Supervision is not a magic pill.
Quote:
Originally Posted by SarahSweden
I think many clients hope their therapist will miss them, will regret what they did, will think of them afterwards but I doubt the therapists actually do that. Of course some will but I think many of them become desensitised and whilst the client mourn and grief for months and sometimes years most therapists will just take on a new client to fill that empty slot.
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I would disagree on the desensitization. Most of the therapists I know don't take such things lightly when they actually happen. But it's rare to happen. Of course they can't afford to be invested in a relationship as deeply as their clients, so it's much easier for them to think about a rupture that they weren't a good fit and it's for the best that they parted ways. Usually this is their consolation.
Quote:
Originally Posted by SarahSweden
Some "super therapists" will for sure act by the book, try new methods, accept clients' critique and so on but I believe there are very few who has both skills and conscience for that.
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What's troubling me is that there is no book on this. There is no consensus. Some writers even encourage being cold and professional about such things. Client should be referred somewhere else and that's about it.