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  #26  
Old Apr 24, 2013, 05:54 PM
ultramar ultramar is offline
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Originally Posted by Antimatter View Post
My T is letting me email him over his month long vacation. Since seeing this T, I have respected his boundaries. He understands me more than xT did, he has training in DID and trauma. His approach is in getting to the root of the problem and.he.gets me and he trusts me. I don't make threats in email either. I was just thinking of some other possible complications that might arise. I do think email is good for many people, but outside of Ts vacation, it isn't a good choice for me. So, ultramar, I think that how the therapist sets his boundaries in relation to the client is important. If a therapist doesn't have the training in or understand the client's issues and how to handle them, it could escalate the client. Likewise, the client could escalate the therapist. There are so many factors involved.
I just asked my T if I have ever crossed his boundaries yet, and he said, no. I used to have these issues, and suspect I am not cured, but I have been respectful with my current T.
This is really interesting. It sounds like the -much- better relationship with this therapist (he sounds validating, ready and willing to get to the root of problems, trustworthy, etc.) has actually led you to have better boundaries with him. I wonder if sometimes (and I say sometimes, because there could be all sorts of reasons) patients have poorer boundaries with therapists they don't have that kind of solid relationship with for whatever reasons? Though I suspect -as you've pointed out re attachment styles, etc.- it also has to do with where people are in their journey.

What is it, you think, about this current therapist that facilitates you having better boundaries than with the previous therapist? Maybe T's could learn from this, huh?
Thanks for this!
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  #27  
Old Apr 24, 2013, 05:57 PM
ultramar ultramar is offline
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But I think there's a difference between boundaries and the therapy frame though they interrelate. Boundaries usually concern isolated actions. But the frame can be affected by how boundaries are handled by both client and T. The establishment of and engaging with boundaries that don't support the therapeutic relationship and goals damage the frame, and so can undermine both the therapy and the relationship. Boundaries can come and go, but the frame needs to remain consistent.

This sounds just right to me -but what's complicated in this context is how would you define 'frame?' How do the frame and boundaries interrelate?
  #28  
Old Apr 24, 2013, 06:02 PM
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Originally Posted by ultramar View Post
Maybe this is clear, but just to make sure, this is hypothetical, not the situation with me/my therapist -he's flexible, no 'scolding', etc. I was just curious about what people think of these scenerios.

Thanks for your comments, Antimatter!
Yes, Ultramar, I knew it was a hypothetical lol. I guess I went off on a tangent Thanks for this thread!
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  #29  
Old Apr 24, 2013, 06:04 PM
ultramar ultramar is offline
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Originally Posted by sunrise View Post
I could see a T easily forgetting how many emails that week they had received from a client and responding to an important email, even if it officially broke a rule they had established with a patient. A T probably gets a ton of emails each day and if he accidentally responded to you, well, so it goes. Certainly talk to him about this if it is bothering you, is confusing, etc. Perhaps you can try harder to uphold the boundary on your end so this situation doesn't arise again? You asked if you were "justified" in now sending your T additional emails each week. I would say don't deliberately cross the boundary until you have discussed it. Respect what you have already established even though your T did respond to your extra email in a time of need. T's boundary, after all, was that you only email once a week, not that he would not respond to additional, something-really-big-came-up emails.

I would say no, you are not "justified." It is interesting how you use that word again! The boundary was that you not email more than once. You broke it. Don't criticize him for not bawling you out for your transgression. You're not a child who needs punishment after disobeying. As an adult, you can take responsibility, recognize your error (instead of focusing on what your T did), and try not to repeat it. You could also apologize for breaking the boundary: "Hey, I'm sorry for the extra email last week when Big Thing happened. I really appreciate your responding even though I know you asked me to email only once." That might be a good opener to further discussion of the boundary, if you are confused about it, would like to alter it, etc. Good luck!
Great comments, I agree -but, again, this is not at all about me --it's pretty much the polar opposite of how I would address the situation. I was just curious about what people think of the scenario, what you think about how it's dealt with in how I presented the situation, how it might be better handled. Sorry, I didn't make this clear --oops!
  #30  
Old Apr 24, 2013, 06:18 PM
ultramar ultramar is offline
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Originally Posted by SallyBrown View Post
I think there's a difference between "justified" and "therapeutic".

In the situation you outline, the T is failing to be responsible, because he is changing boundaries without saying anything about it. In the absence of an explanation, I think this is potentially confusing for a client, especially if the boundary returns.

I feel like if we all based our behavior on what's "justified", though, we'd all be in trouble. I have trouble relating to wanting to cross boundaries, because I pretty much don't. I did, however, have a close friendship with someone who would do just exactly this... she would occasionally poke at boundaries, looking for an opening to do what she wanted to do. And if it was ever the case that I or our other friends didn't push back, she'd go straight through with the "but you didn't say no last time" thing. For a while, we shared a workspace, and bit by bit, she would leave it messier and messier, to the point where she wasn't even bothering to put trash in the trash can, I kid you not. She was going through some personal stress at the time, so I let it go a couple times. But when that stressful period was over and she kept doing it, I finally confronted her and she blamed me for not telling her earlier not to leave trash everywhere. This is a really basic and straightforward example, but it was true with so many things that one by one, she lost all of her closest friends, only able to maintain friendships with those that were far away.

Now, it's true that I didn't tell her not to leave trash everywhere. But it's also true that she knew better than to leave trash everywhere. So was she justified? I don't know. But I do know that she'd have been better off just trying to be a good friend and maybe getting some practice in adult behavior (she was always really really messy). So focusing on whether or not she had successfully found some kind of friendship loophole really didn't help her get any closer to interacting with people in a healthy manner. She just got whatever temporary gratification she got by leaving trash on the floor. Maybe that's worth it to her, but it wouldn't be to me.

It's true that boundaries are a big topic in therapy -- some people push them, some people won't even come near them. However, it's THERAPY, not a free-for-all. What disturbs me about your scenario is not just that the T doesn't say anything... but that the client doesn't either. My T has sometimes changed boundaries without saying anything, but I usually ask him about it. Nowhere here does the client first say, "Hey, so I appreciate your letting me e-mail more than once a week last week. Is that ok for me to do in emergencies?" Instead, quite purposefully, the client pushes on it to see how long it will hold, rather than discussing how helpful e-mailing that extra time was, and whether it would be worth considering multiple e-mails per week. To me, there is a vast difference between crossing a boundary in a tough situation and then revisiting it, and crossing a boundary in a tough situation and then continuing to cross it as long as nobody says "no", and purposely not asking about it in order to milk that implicit "approval" for all it's worth.

I lay a lot of responsibility at the T's feet to keep everything on a therapeutic track. However, if a client is doing the "not no means yes" thing in order to cross what used to be an explicit boundary... whether it's justified or not, they must be aware that they are pushing their luck, otherwise they would just ask about the boundary (or not push at all, of course). Only a superficial level of self-examination is required to see that this is probably not a productive behavior.
This is brilliant, right on the nose. The RL example you give is really interesting, I am always curious about how crossing boundaries in therapy might manifest itself IRL --I've always suspected it does, sometimes in more subtle ways than you describe, but you give a good example. If I really thought about it, I probably could, though, find examples. I'm admittedly hyper-sensitive to people crossing my boundaries, too much so, and it's something I've worked on off and on in therapy. I'm also uber-sensitive to crossing others' boundaries, although I think too that can sometimes get in the way.

The 'no means yes' thing really hit me. Because I think this is very close to why I get so triggered (okay, I kind of made fun of that word once on here, but I give up, it's perfect ) when I hear of both patients and therapists crossing boundaries in therapy --sometimes it just feels like that is partly what it is about -though this may well be my own projection/my own stuff. Thanks for this.
Thanks for this!
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  #31  
Old Apr 24, 2013, 06:19 PM
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Originally Posted by ultramar View Post
This is really interesting. It sounds like the -much- better relationship with this therapist (he sounds validating, ready and willing to get to the root of problems, trustworthy, etc.) has actually led you to have better boundaries with him. I wonder if sometimes (and I say sometimes, because there could be all sorts of reasons) patients have poorer boundaries with therapists they don't have that kind of solid relationship with for whatever reasons? Though I suspect -as you've pointed out re attachment styles, etc.- it also has to do with where people are in their journey.

What is it, you think, about this current therapist that facilitates you having better boundaries than with the previous therapist? Maybe T's could learn from this, huh?
My xT and I frequently had ruptures about my child part/needy part or whatever you want to call it. I had massive issues going in, unknowingly, and he was a good therapist but he didn't understand what I needed (nor did I).

I absolutely think that my current T's acceptance of who I am in therapy, and his focus on what in the past caused this today, his in depth understanding that behaviors happen for a reason, and his desire to help me find the reason. I feel safe with him, even though I do panic after session sometimes from feeling vulnerable. I think that he models flexible boundaries, he validates my emotions (which often cause my emotional upheaval), etc. I am going through similar reenactments but they are being handled differently, and this has been healing.
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Last edited by ~EnlightenMe~; Apr 24, 2013 at 06:44 PM.
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  #32  
Old Apr 24, 2013, 06:33 PM
ultramar ultramar is offline
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Originally Posted by wotchermuggle View Post
If it were me, I'd be thankful that T accepted and responded to my email and resume what we've agreed on - one email a week.

I wouldn't start pushing boundaries about something that has already been agreed upon. If it was really important to email more, then that is something that needs to be discussed face to face in a session.

The whole keep-emailing-because-he-gave-in-once seems rude and inconsiderate. JMHO.
I agree, I think it takes some flexibility in thinking on both sides. We talk sometimes about too much rigidity on the part of therapists, but I think this can happen with patients as well -having a too rigid interpretation of boundaries.

I'm not sure this applies, but it reminds me of a colleague of mine who was having trouble in her marriage. She said that they had both discussed and agreed upon things they could change to make the marriage work better. So she showed me a typed paper of her list and his list. Fair enough, sounds good, I thought. But then at the end she wrote something to the effect of: "And if one of us does not comply with the above stipulations, then we shall divorce." Signatures below. I was shocked, about to say something, then she said her husband agreed to it, but refused to include that last sentence, so I let it go. This is someone with a history of very rigid, black and white thinking (which still drives me nuts sometimes) and in a way it didn't come as that much of a surprise to me. This example isn't about boundaries, but maybe it's in part that kind of rigid thinking that can be one -of many- characteristics that can lead to boundary problems?
  #33  
Old Apr 24, 2013, 06:39 PM
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Quote:
Originally Posted by WikidPissah Therapists Breaking their own Boundaries
I hate to label people, but there is a personality disorder that is known for always finding a reason to break the rules, and I believe that disorder is best treated with really firm boundaries like DBT (according to studies).


Quote:
Thank you for saying what I couldn't write. I was worried about offending someone, but I was thinking the exact same thing.

I am a little hurt, but not offended. I am a person, and I don't and won't describe myself in the terms that are written above.

I am not ashamed of who I am.

Namaste
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  #34  
Old Apr 24, 2013, 06:52 PM
ultramar ultramar is offline
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Originally Posted by Antimatter View Post



I am a little hurt, but not offended. I am a person, and I don't and won't describe myself in the terms that are written above.

I am not ashamed of who I am.

Namaste
I have no doubt that people who do not suffer from BPD can have trouble with boundaries. The issue may manifest itself differently and/or have different origins/reasons behind it, but it surely happens.
  #35  
Old Apr 24, 2013, 06:56 PM
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My t said that We both break boundaries when We occasionally hug. We both ask first If It's ok. This is a rare occurrence, usually when he is leaving on vacation. So We mutually accept breaking boundaries , and I Feel that's ok. Because It's mutual, note one sided.
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  #36  
Old Apr 24, 2013, 07:25 PM
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Originally Posted by ultramar View Post
I have no doubt that people who do not suffer from BPD can have trouble with boundaries. The issue may manifest itself differently and/or have different origins/reasons behind it, but it surely happens.
Saying that it happens is different than saying that people with BPD are known for always finding a reason to break a rule. I am not known for always finding a reason to break a rule. I am not trying to be recalcitrant, I am not angry or upset, I am advocating for myself.
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  #37  
Old Apr 24, 2013, 07:31 PM
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I don't see that labeling or pointing fingers at any diagnosis is useful or supportive here. Just my opinion.
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  #38  
Old Apr 24, 2013, 08:04 PM
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Originally Posted by stopdog View Post
I don't see that labeling or pointing fingers at any diagnosis is useful or supportive here. Just my opinion.
I think it's a fair thing to say....that pushing relationship boundaries is typically a borderline issue, just like mood swings are bipolar-like.

No one's saying, "Hey, all you borderline people, yeah YOU! I'm picking on you."

It's more of a "yeah that's typical of borderline diagnoses", hence why DBT was creating to try and help curb this.

Facts are facts. Doesn't mean it applies to EVERYONE, but in general that is a borderline thing. It doesn't mean non-borderline people don't do the same thing.....they do, but it is a TYPICAL and NOTED part of a borderline diagnosis.
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  #39  
Old Apr 24, 2013, 09:20 PM
ultramar ultramar is offline
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Originally Posted by MASIMO View Post
My t said that We both break boundaries when We occasionally hug. We both ask first If It's ok. This is a rare occurrence, usually when he is leaving on vacation. So We mutually accept breaking boundaries , and I Feel that's ok. Because It's mutual, note one sided.
If you both agree to hug, what boundary has been broken? The only way it would be 'breaking a boundary' is if you had agreed not to do this and did it anyway, you know?
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  #40  
Old Apr 24, 2013, 09:46 PM
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Originally Posted by wotchermuggle View Post
I think it's a fair thing to say....that pushing relationship boundaries is typically a borderline issue, just like mood swings are bipolar-like.

No one's saying, "Hey, all you borderline people, yeah YOU! I'm picking on you."

It's more of a "yeah that's typical of borderline diagnoses", hence why DBT was creating to try and help curb this.

Facts are facts. Doesn't mean it applies to EVERYONE, but in general that is a borderline thing. It doesn't mean non-borderline people don't do the same thing.....they do, but it is a TYPICAL and NOTED part of a borderline diagnosis.
I stated how I felt about what was said, and what I thought. This is your stuff, not mine.
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  #41  
Old Apr 25, 2013, 07:30 AM
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Originally Posted by Antimatter View Post



I am a little hurt, but not offended. I am a person, and I don't and won't describe myself in the terms that are written above.

I am not ashamed of who I am.

Namaste
I didn't mention a dx. I just said personality disorder. There are several personality disorders that do that actually, but the one I had in mind was Narcissistic Personality Disorder, and I in no way was referring to you as being one who had that dx. Obviously, if you don't continually look for rules to break, I wasn't speaking of you. I am sorry you were hurt, I was trying to be vague and not judge any one person.

Peace.

In the hypothetical situation the OP mentioned, it was a person who blew thru a boundary and then was making excuses as to why they continued to blow thru it (it's the t's fault). This is the behavior that puzzles me so much and that I find to usually go along with a personality disorder. Us PTSD folks wouldn't dream of over stepping. We can't even come close to a boundary because they are so frightening to us. One behavior isn't better or worse than the other...it's just opposite behavior. I was only trying to point out a reason for the differing replies. I meant no harm to anyone.
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Last edited by WikidPissah; Apr 25, 2013 at 08:00 AM.
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  #42  
Old Apr 25, 2013, 07:50 AM
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well said wiki
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Dx, HUMAN
Rx, no medication for that
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  #43  
Old Apr 25, 2013, 08:09 AM
stopdog stopdog is offline
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Originally Posted by WikidPissah View Post
Us PTSD folks wouldn't dream of over stepping. We can't even come close to a boundary because they are so frightening to us. One behavior isn't better or worse than the other...it's just opposite behavior. I was only trying to point out a reason for the differing replies. I meant no harm to anyone.
I don't think anyone meant any offense.
For me, even though the therapist has mentioned ptsd and me, I actually would still write and send letters to the therapist even if they said no letters. It might make me feel panicky, dry mouthed and nauseous, but them telling me I could not would just be ridiculous to me. I would probably do letter rather than email (because I think there are all sorts of difficulties with email) - but their setting what seemed to me a stupid pointless rule would not cause me to blindly follow it. I do think there is a difference between the idea of plain rules versus boundaries in some places. (For me there have been times when the therapist has even been more than just not unhappy that I did openly not follow a rule.) A big problem for me with the example is that I really don't see being sent email as something that should send the therapist over the edge. Getting caught up in responding to email is where I see the difficulty and that is upon the therapist, as I explained earlier. But that is just my take on it.
I still don't think the labels are useful here. No matter what the label. But I would not see a therapist who had more than a "pay the agreed upon amount for the agreed upon amount of time and leave without shooting me" rule in the first place. I do like to know the rules ahead of time.
We all pick the rules we are going to follow or not - for example - traffic laws: speeding (even just a little over the speed limit), rolling through a stop sign, not wearing a seat belt (I never wear them) and so forth.

Last edited by stopdog; Apr 25, 2013 at 08:26 AM.
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  #44  
Old Apr 25, 2013, 08:26 AM
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Originally Posted by ultramar View Post
Let's say my therapist and I have agreed that I
It's not about the therapist, it's about your therapy. It's a therapy boundary (not the therapist's boundary) and your T is going to try to do whatever s/he deems is most helpful to you in the moment. You can send a zillion emails every week if you want to, you would be breaking the agreement you and your T decided was best for your therapy at that time. Your T perhaps with the agreement agreed they'd answer one so the others would probably go directly to T's trash/spam for all one knows. But I bet the discussion would be about you breaking your half of the agreement, not about T and what s/he is doing.
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