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  #1  
Old Sep 06, 2011, 08:14 AM
d8057 d8057 is offline
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As you can see in this psych report (w w w. slideshare. net / ii060309 / cbt-report) there is only one vague reference to "transference" and not a single reference to the pain "the patient" underwent after he developed feelings of attraction toward the therapist. Instead of being validated he merely got accused of developing the idea that the attraction was the therapist's doing. In other words, instead of writing a report that might help future therapists find a way to help the patient tolerate or neutralize such painful feelings of emotional closeness, the therapist hints at the possibility that the patient suffers from delusional paranoia. Concerning that possibility, I see no reason why this type of transference should not be considered partly the therapist's fault. After all, it's not hard to conceive that if the therapist had made an effort to not be so nice to the patient, a socially handicapped young man who has never had a girlfriend in his life, perhaps the patient wouldn't have endured so much unnecessary pain, since the patient didn't even go to therapy because he was interested in relationships. Then again, since the patient's pain wasn't even acknowledged in the report, it's possible that it all boiled down to miscommunication and misinterpretation. What do you think?

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  #2  
Old Sep 06, 2011, 10:43 AM
Anonymous32477
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Hi, I'm sorry that I can't really follow your message because it seems like you intended to make this report public and attached somehow to your post. Before you try to fix this, though, please be sure that you are protecting your privacy and your name or other identifying information is removed!

I would be happy to give you some feedback. Maybe you could cut and paste the parts that you want a response to? Although I kind of think that maybe the issue is what wasn't in the report.

Sorry, I can't follow what you're trying to communicate better. Can you take a look at your original post and see what I mean?

Anne
  #3  
Old Sep 06, 2011, 10:54 AM
d8057 d8057 is offline
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Quote:
Originally Posted by 3rdTimesTheCharm View Post
Before you try to fix this, though, please be sure that you are protecting your privacy and your name or other identifying information is removed!
It's fixed. Thanks for your concern.
  #4  
Old Sep 06, 2011, 11:40 AM
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sunrise sunrise is offline
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I was able to view the report without a login.
Quote:
Originally Posted by d8057 View Post
Instead of being validated he merely got accused of developing the idea that the attraction was the therapist's doing. In other words, instead of writing a report that might help future therapists find a way to help the patient tolerate or neutralize such painful feelings of emotional closeness, the therapist hints at the possibility that the patient suffers from delusional paranoia.
It sounds like you think this report will not accurately portray you and your issues to your next therapist. Since you believe it is inaccurate, if you tell your new therapist yourself what your issues are, this will be more effective. If it were me, I would not even give this report to my new therapist because I would want him/her to start without preconceptions about me. I would just let myself do the talking and trust that the therapist will listen to me.

From the looks of the report, this was a research study you were participating in with a set protocol for therapy, and it was delivered by a graduate student rather than a licensed therapist. Is that correct? If it was a student, issues of transference may have been way out of her league. I think you may have better luck with the next therapist if you choose someone who is more experienced and who isn't beholden to following a certain protocol, but can allow the therapy to go where it needs to go. Even if I am reading that wrong and your T was experienced and licensed, I think that receiving therapy outside of a research protocol context would be more helpful to you.

Good luck and welcome to PC.

P.S. You also mentioned not getting validation from the report. Sure, that would have been nice, but that is not the function of the report. Validation has the potential to come from your personal interaction with the therapist, so look to your termination session to see if she understood you and your issues, rather than this formal report. Probably a lot of clients wouldn't feel validated if their T wrote up a formal report about them, as what goes in the report is actually not usually shared with the client and has a lot of jargon.
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Last edited by sunrise; Sep 06, 2011 at 11:58 AM.
  #5  
Old Sep 06, 2011, 04:54 PM
d8057 d8057 is offline
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Quote:
Originally Posted by sunrise View Post
From the looks of the report, this was a research study you were participating in with a set protocol for therapy, and it was delivered by a graduate student rather than a licensed therapist. Is that correct?
That is correct.
Quote:
If it was a student, issues of transference may have been way out of her league.
Possibly. Also the fact that the therapist stated repeatedly that they don't think of "transference" that way.
Quote:
I think you may have better luck with the next therapist if you choose someone who is more experienced and who isn't beholden to following a certain protocol, but can allow the therapy to go where it needs to go. Even if I am reading that wrong and your T was experienced and licensed, I think that receiving therapy outside of a research protocol context would be more helpful to you.
To be honest I don't think further therapy is necessary. Besides, the report has many inaccuracies and I would rather be honest.
Quote:
P.S. You also mentioned not getting validation from the report. Sure, that would have been nice, but that is not the function of the report. Validation has the potential to come from your personal interaction with the therapist, so look to your termination session to see if she understood you and your issues, rather than this formal report.
Because she really understood or because she wanted me to feel validated?
  #6  
Old Sep 06, 2011, 07:45 PM
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Dr.Muffin Dr.Muffin is offline
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Quote:
Originally Posted by d8057 View Post
As you can see in this psych report (w w w. slideshare. net / ii060309 / cbt-report) there is only one vague reference to "transference" and not a single reference to the pain "the patient" underwent after he developed feelings of attraction toward the therapist. Instead of being validated he merely got accused of developing the idea that the attraction was the therapist's doing. In other words, instead of writing a report that might help future therapists find a way to help the patient tolerate or neutralize such painful feelings of emotional closeness, the therapist hints at the possibility that the patient suffers from delusional paranoia. Concerning that possibility, I see no reason why this type of transference should not be considered partly the therapist's fault. After all, it's not hard to conceive that if the therapist had made an effort to not be so nice to the patient, a socially handicapped young man who has never had a girlfriend in his life, perhaps the patient wouldn't have endured so much unnecessary pain, since the patient didn't even go to therapy because he was interested in relationships. Then again, since the patient's pain wasn't even acknowledged in the report, it's possible that it all boiled down to miscommunication and misinterpretation. What do you think?
i havent and don't intend to read your psych report and would advise against you posting it on a public board (feel very free to ignore said advice!)

i will say that the end on the title says cbt. in cognitive-behavioral therapy, there is no acknowledgement of the phenomenon called transference. that is a psychodynamic term. so, it really wouldnt come up in a cbt-based report. which is not to say that the feelings themselves dont come up, because they certainly do! its just not likely to be called transference.
  #7  
Old Sep 06, 2011, 07:50 PM
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(JD) (JD) is offline
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Are you okay? The reference you're making to CBT is computer based technology. Is this a test to see if the members here care enough to check?



To me, that "report" sounds like a patient based retort back to a therapist who failed to reach you or reach out to you in the way you need.
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  #8  
Old Sep 06, 2011, 08:50 PM
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emilyjeanne emilyjeanne is offline
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Quote:
Originally Posted by (JD) View Post
Are you okay? The reference you're making to CBT is computer based technology. Is this a test to see if the members here care enough to check?



To me, that "report" sounds like a patient based retort back to a therapist who failed to reach you or reach out to you in the way you need.
CBT is cognitive behavior therapy.
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  #9  
Old Sep 06, 2011, 10:53 PM
d8057 d8057 is offline
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Quote:
Originally Posted by Dr.Muffin View Post
which is not to say that the feelings themselves dont come up, because they certainly do! its just not likely to be called transference.
Then what do they call it and how exactly are they supposed to handle it? Do they just hope that those feelings somehow help the therapeutic relationship and if not "oh well"?
Thanks for this!
pbutton
  #10  
Old Sep 07, 2011, 09:56 AM
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Sanada Sanada is offline
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Quote:
Originally Posted by d8057 View Post
As you can see in this psych report (w w w. slideshare. net / ii060309 / cbt-report) there is only one vague reference to "transference" and not a single reference to the pain "the patient" underwent after he developed feelings of attraction toward the therapist. Instead of being validated he merely got accused of developing the idea that the attraction was the therapist's doing. In other words, instead of writing a report that might help future therapists find a way to help the patient tolerate or neutralize such painful feelings of emotional closeness, the therapist hints at the possibility that the patient suffers from delusional paranoia. Concerning that possibility, I see no reason why this type of transference should not be considered partly the therapist's fault. After all, it's not hard to conceive that if the therapist had made an effort to not be so nice to the patient, a socially handicapped young man who has never had a girlfriend in his life, perhaps the patient wouldn't have endured so much unnecessary pain, since the patient didn't even go to therapy because he was interested in relationships. Then again, since the patient's pain wasn't even acknowledged in the report, it's possible that it all boiled down to miscommunication and misinterpretation. What do you think?
hello.

Maybe, but a T's report is private and all patients are unique.
  #11  
Old Sep 07, 2011, 10:43 AM
lynn P.'s Avatar
lynn P. lynn P. is offline
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I'm wondering - does this T know her report is available online with her name on it? This T must have some privacy rights too.
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Last edited by lynn P.; Sep 07, 2011 at 11:32 AM.
Thanks for this!
Dr.Muffin
  #12  
Old Sep 07, 2011, 08:43 PM
d8057 d8057 is offline
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Quote:
Originally Posted by lynn P. View Post
I'm wondering - does this T know her report is available online with her name on it? This T must have some privacy rights too.
I don't know. However, I was under the impression that patients own the contents of their reports. Someone correct me if I am wrong.
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