Posted by alexandra_k on January 6, 2006, at 17:36:32
In reply to Re: Just my POV, posted by NikkiT2 on January 6, 2006, at 17:24:06
> In discussion with our lead therapist the other day, she said she has done some of her best work with clients she simply didn't like, and who often simply didn't like her.
I wonder what she means by her 'best work'?
Reduction in SI?You would need to operationalise and measure that...
Because to the best of my knowledge... The thought is that you are more likely to help people (have a positive influence in their life) if you actually like them. Or you don't actively dislike them at the very least.I don't know.
How many people over on the psychology board have felt helped by therapists who clearly didn't like them?Anybody?
> She said the energy caused by that often breaks more ground than a friendly therapeutic relationship.
Movement is possible without judgement...
Movement is possible even when you like your clients...
Linehan talks about movement...
Strategies for movement strategies for change
But IMO what would be missing if you didn't like someone is...
Acceptance.And for me...
That was what I really needed. To feel accepted and cared about and like the therapist was on MY side helping me figure out how to help my self. And believing in me when I could not.
> And I'm afraid I really don't understand your theory around someone with BPD having to learn to manipulate <I>better</i>.It all hangs on what you mean by 'manipulate'
(Is 'manipulate' a judgemental term or not?)> Learn <I>different</i>, yes.. Learn how to do it in a much less damaging manner.
Yes. That is learning how to manipulate better. Maximisation of manipulation, minimisation of harm...
> And the same for other damaging behaviours.. Reinforce the positive, safe behaviours, and not the bad, dangerous behaviours.
Absence of reinforcer...
Functions the same as
Presentation of a punisher...One does need to be careful.
Thats all I'm saying.
If you stop reinforcing someone and they don't have alternative behaviours that they are able to exhibit in order to obtain reinforcement...Then you are repeating the invalidating environment which was what was so problematic in the first place.
(gee I hope Linehan never reads my funny memory of her theory)
:-O
;-)
poster:alexandra_k
thread:595104
URL: http://www.dr-bob.org/babble/social/20060102/msgs/595898.html