in Marriage & Family on Apr 15, 2008
Often times in therapy, my patients will ask what I think about a specific problem and dynamic in their relationship. I explain to the individual or couple, that it is not for me to tell them what to do or how to do it, but rather, to interpret for the couple, and exactly what it is that they are trying to say to each other.
As a post-modern, systems oriented, and solution focused therapist, my job is not to "Fix" the patient/patients, but to help them help themselves. During this process, the therapist provides a safe haven to explore issues, and an experts positioning on the sequences of behavior and patterns of interaction at play in the couples relationship.
It is often difficult, as the saying goes, "to see the forest for the trees" when one is in the middle of crisis in their own personal trials and tribulations of life and love. As the Therapist, it is my job to help the couple/individual make sense of and choose possible options for moving forward in their relationships in a pro-active and positive manner.
With these basic and essential boundaries in place, the groundwork for the therapeutic process begins.
During the first three sessions, the therapist must "join" with the patient, meaning, that each respective party begins to feel comfortable in their role as patient, and therapist. It is during these crucial beginning sessions that the doctor/patient relationship is nurtured and developed.
If indeed the patient decides that there is a "comfort zone" and they wish to continue with therapy with this particular doctor/ therapist, it is at this point that the interactive components of trust and therapeutic process between Doctor and Patient develop into a working relationship.
The secret to a” healthy working relationship” with your therapist, and to getting the most out of your therapy, is in truly understanding the Therapeutic process. A few of these rules for therapy are listed below.
BASIC RULES OF GETTING THE MOST OUT OF YOUR THERAPY:
1. Going into therapy, decide whether you are there to "win" at something, or to "work on solutions” to help your relationship survive.
2. Don't expect the Therapist to "take sides". Your therapist is well-trained to
work from an Objective stance, not Subjective.
3. Drop Your Weapons: Don't come into therapy with a "chip on your shoulder"
you are either here to gain a better understanding of your relationship or to
fight about the past. Unfair fighting is a deal breaker to any relationship.
4. Take responsibility for your own life, relationship and therapeutic process.
Simply going to therapy will not "fix" your relationship. It is up to you and
your partner to follow through with the therapeutic process both in and out of
the therapy session.
5. Expect your therapist to provide interactive discussion during therapy. Today's therapy hopes to provide the patient with Solutions for Today’s problems.
Simply venting or talking to the therapist for the 55 minute session is old
school therapy, psychodynamic, and often leaves the patient feeling as
thought they've come out of therapy with no new tools or skills to work with.
6. In solution-focused therapy, homework, or directives for further development of your therapy treatment plan are implemented, so that you've done your part of the therapy process between sessions.
7. Therapy is not a day at the Park. Expect to feel uncomfortable at the
beginning. It is difficult to feel vulnerable and safe enough at the same time,
to express your personal issues and move forward with your therapist.
Hopefully these guidelines will provide a birds-eye view enabling you to get
the most from your investment in Psychotherapy. If you are reading this
article, you are taking the first step to improving your quality of life and
relationships. Small baby steps can lead to great accomplishments.
In Love and Light,
Dr. Arlene G. Krieger