I'm attempting to write a lit-review on issues/benefits (assumptions, biases, resistance, counter transference, etc.) found specifically in a therapeutic alliance between a therapist and therapist-client. But I haven't found any literature or research regarding this question. Admittedly, this topic may be to broad to write a lit-review, thus any help would be greatly appreciated!
Jeremías F. Hernández
As every psychotherapist must have gone through own psychotherapy or psychoanalysis, I wonder if you refer to soul care?
Béatrice Marianne Ewalds-Kvist , thank you for asking that clarifying question.
My M.A. counseling/LPC program requires that before graduation all students have to undergo 20 of licensed professional counseling. But our program is unique in our area for having this requirement, it is not obligatory across all programs. However, my question encompasses all therapists, from student-counselors to well seasoned professionals who seek out personal psychotherapy or professional counseling (of any modality/theory). There are particular aspects of the therapeutic interaction that occur in this specific setting (btw therapist and client-therapist), so i was wondering if anyone knew of research that captured this phenomenon.
I have come across these resources:
https://kspope.com/therapistas/research9.php
https://ejcop.psychopen.eu/article/view/4/html
Stephen Cheung , thank you for that response it was very helpful!
- Therapists as Patients: A National Survey of Psychologists' Experiences, Problems, and Beliefs (Pope)
- The Psychotherapist's Own Psychotherapy: Patient and Clinician Perspectives (Geller, Norcorss, Orlinsky )
- A perilous calling: The hazards of psychotherapy practice (Sussman)
- Clinical dilemmas: Therapists treating therapists (Bridges)
- The therapist as patient: Special problems and considerations (Fleischer, Wissler)
- Therapists’ experiences of personal therapy: A descriptive phenomenological study (Oteiza)
- CONDUCTING PSYCHOTHERAPY WITH PSYCHOTHERAPISTS: I. PREVALENCE, PATIENTS, AND PROBLEMS (Norcoross, Geller, Kurzawa)
- Barriers to mental healthcare for psychiatrists (WHITE, SHIRALKAR, HASSAN, GALBRAITH, CALLAGHAN)
- Marriage and family therapists' problems and utilization of personal therapy (Deacon)
So far these are a few pieces of literature I've found on the subject.
But even these authors call for further research regarding the intricacies of negative therapeutic experiences between therapists and therapist-clients.
The only research I've come across are 2 meta-analyses which indicate that the working therapeutic alliance contributes the vast majority of efficacy is due to it! The client's contribute about 40% as we mobilize their own strengths and resources. And across transtheoretical models, 75~80% of clients show + response.
I am also attaching one of my articles re:"talk therapy".
Rich
I can't add another study, but our data from ethic association Germany include about 50 complaints of therapists about boundary violations during their psychotherapeutic treatments. It is stunning, that they undergo the same impairments as "normal" patients, when they are hit by boundary violations. I myself treated like a dozen colleagues during nearly 30 years of work, so I dare to say: treat them just like "normal" patients und refrain from treating them special!
A lot of good literature above, but going back to the basics. Some therapists misdiagnose themselves due to UTE, they need another therapist. As a therapist, I try to get 2-3 therapy every month to avoid burnout because my clients trauma may be vicarious, depressive states due empathy. We have the guidelines, but we are just as human as our clients e.g. An subconscious thought process we may be unaware of may set in, and in many couples therapy, where one partner is a therapist will come with the notion they know what the problem i.e. the other partner, it does good as a therapist to get therapy once in a while. It may be at times difficult to have a therapist as a client, just avoid intellectualizing during therapy.
UPDATE: I've drafted up my first literature review (ever) and it encompasses this topic. Would like to invite critical feedback! Never having written a literature review, I'm going at this quite blind and would love any critiques to help better the paper. It is a minimal assignment for a supplementary class in my master's counseling program, but I want it to be the best it can possibly be.
Only requirement is APA formatting and suggested length of 8-12 pages.
Below is a link to the PDF version you can download for those who would like to read the draft of this review and comment on it, (just plug this link into your browser):
https://drive.google.com/file/d/1R-DZWR9IyhGyHU1MN_1nxwdrgGZ66yeF/view?usp=sharing
You can email the version you've edited or commented on back to me at: [email protected]
-- Much Obliged!!!
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