[Wren_]

What motivation does a T have for working through a rupture that occurs in therapy; if the client leaves ... another client will usually replace them

I know this question is being unfair in some ways; that there are many T's who care about their clients, I'm just trying to think through some thoughts that are higgledy piggledy in my mind

I would assume they have concern for their clients, want the best for them, and realize that so much of the time the ruptures are not really about them; they are about something triggering from the client's history. They feel a responsibility to provide care to their clients. After all, that is the business they are in.

[Chopin99]

I've learned some very important things about myself in both ruptures I've had with my T. In fact, some of my best work has come with the ruptures.

If a client leaves therapy over a rupture (or any other reason), it is his/her choice. If a T terminates a client because of a rupture, it can seem like abandonment. My T said the only reason she would ever refer me is if her actions caused me serious harm.

[Wren_]

Thanks Chris and Chopin; I was thinking how uncomfortable it could be for the T to work through them
When therapy involves ruptures with others sure that makes sense, but when it involves ruptures or problems with themselves that seems much harder

[Crescent Moon]

Originally Posted by tigergirl

What motivation does a T have for working through a rupture that occurs in therapy; if the client leaves ... another client will usually replace them

I know this question is being unfair in some ways; that there are many T's who care about their clients, I'm just trying to think through some thoughts that are higgledy piggledy in my mind

They are trained to expect and resolve ruptures. In my experience, a true therapeutic bond wherein the therapist has earned the client's trust, is built upon a bunch of successfully navigated ruptures and repair.

[stopdog]

I don't think therapist find ruptures such a big deal and some sects of them even advocate them as showing something is working (I am not claiming they set out to cause them necessarily - although I do not rule it out). They may or may not care about the client personally (try to refrain from attacking me on this - they may well care for all I know - just it is irrelevant for my point) but they are detached. It may not be super pleasant to deal with a client who is angry at you, but I think it is sort of a therapy challenge thing for them - can they skillfully deal with it and bring it to a satisfactory conclusion. It is like "wahoo - I get to use what I know to resolve this and that if I can it shows I am a skilled therapist."

i would think it would be in the best interest of t and client, because if a client leaves every time there is a rupture, seems to me t would be going thru a lot of clients and is that really in their best interest? or the clients?
just rambling and my two cents

[vaffla]

working through a rupture is, in many cases, the heart of the work in therapy. If a therapist isn't motivated to do that, he might as well choose a different occupation.

[CantExplain]

Originally Posted by tigergirl

What motivation does a T have for working through a rupture that occurs in therapy; if the client leaves ... another client will usually replace them

SPECULATION:

A lot of really good stuff comes out after a rupture and Ts don't want to miss it.

[KazzaX]

Well if a T works through a rupture with you, then it means you have to come in for sessions for this to occur. Sessions = money. So I would say they have an extremely large reason to want to repair a rupture. They are a business underneath it all.

[ListenMoreTalkLess]

Originally Posted by tigergirl

but when it involves ruptures or problems with themselves that seems much harder

Two thoughts: 1) that therapists believe that clients terminating therapy with a "happy ending" is a measure of their success and 2) issues that involve clients' perceptions of them might be much harder than anything else.

On the first issue, I think that therapists want, both for themselves and their clients, for therapy to be terminated after goals have been achieved, and/or symptoms have abated, and/or clients are in a good place and ready to carry on with their lives having grown stronger since therapy. When therapy is terminated because of a rupture, no matter whose "fault" it is, that doesn't leave either the client or the therapist in a good place wrt to the work itself. So I would think therapists would be motivated to work on a rupture so that termination can occur "naturally" (not that ruptures aren't "natural') and the client's happy ending can be found.

On the second issue, I sometimes wonder how therapists can "fix" a rupture that boils down to the client believing that "you don't care about me" because therapist has done, or not done, certain things. Or because therapists cannot really care for any client, by definition. I don't know how you can convince someone that you really care about them-- either they feel cared for or they don't. You can point out until the cows come home that real caring is not based on 1 or 2 behaviors, but you can't really argue someone out of feeling uncared for. And you can't just do things for the sole purpose of having people feel cared for, as that's not genuine and it would feel coercive I would think.

Actually, I was remembering that one thing my T does makes me feel really cared for. One time months ago I asked her to shut the curtains on one side of the office because I kept seeing people walk by and it distracted me. Now I notice the curtains on that side are always shut. Maybe she's kept them closed since then, but I feel like she has remembered every week and closes them before I come in.

[CantExplain]

Is therapy really about money?

Acid test: do they teach it at Harvard Business School?

Originally Posted by KazzaX

Well if a T works through a rupture with you, then it means you have to come in for sessions for this to occur. Sessions = money. So I would say they have an extremely large reason to want to repair a rupture. They are a business underneath it all.

This may be true for some, but I have had 2 ruptures so far and both were resolved during the following session. And both of these were extremely beneficial for me, because they showed me where my perceptions were off, distorted, skewed. It was also really enlightening to see how it takes BOTH people to repair a rupture. I couldn't have done it by myself, and neither could T. We BOTH had to work together. Gee - just like a relationship in real life. And that's why I'm in therapy.