What Therapists Don't Talk About and Why

by
Edition: 2nd
Format: Paperback
Pub. Date: 2006-03-01
Publisher(s): AMERICAN PSYCHOLOGICAL ASSOCIATION
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Summary

Discusses a full range of taboo topics in psychotherapy. Topics include basic myths about psychotherapists, confronting an impasse, being unaware of the client's attraction, clues to taboo and uncomfortable feelings, and more. For psychotherapists. Previous edition, c1993, titled Sexual Feelings in Psychotherapy. Softcover, hardcover available.

Table of Contents

ABOUT THE SECOND EDITION xix
FOREWORD TO THE SECOND EDITION: THINGS MY TEACHERS NEVER MENTIONED
Gerald P. Koocher xxi
FOREWORD TO THE 1993 EDITION xxv
Melba J.T. Vasquez
Chapter 1: Questioning Myths, Taboos, Secrets, and Uncomfortable Topics 3(24)
Basic Myths About the Psychotherapist
4(17)
The Nature and Reality of Myths, Taboos, Secrets, and Uncomfortable Topics
21(3)
The Process of Questioning Myths, Taboos, Secrets, and Uncomfortable Topics
24(1)
The Process of Exploration, Discovery, and Learning
25(2)
Chapter 2: Therapists' Sexual Arousals, Attractions, and Fantasies: An Example of a Topic That Isn't There 27(16)
Another Myth
28(1)
Guilt by Association
29(4)
Keeping Dirty Laundry Private
33(1)
"Sensitive Information" About Patients but Not About Therapists
33(1)
Angry, Greedy, Powerful Women and Innocent, Virtuous, Vulnerable Men
34(1)
Higher Premiums
35(1)
"Victimized" by Exclusion?
35(1)
Are Sexual Feelings Harder to Talk About Than Actual Sexual Involvement?
36(7)
Chapter 3: Creating Conditions for Learning 43(10)
Safety
44(1)
Understanding the Task
45(1)
Openness
45(1)
Respect
46(1)
Encouragement
46(1)
Privacy
47(1)
Acceptance
47(2)
Sensitivity
49(1)
Frankness
50(1)
Support
50(3)
Chapter 4: Questions We'd Rather Avoid: A Self-Assessment 53(12)
Questions
54(11)
Chapter 5: Possible Clues to Taboo Topics and Uncomfortable Feelings 65(20)
Therapy Adrift
67(1)
Repetitive Therapy
67(1)
The Discrepant Record
68(1)
The Dehumanized Client
68(1)
The Dehumanized Therapist
69(1)
Avoidance
69(1)
Theory-Obliterated Therapy
70(1)
The Client-Friend
71(1)
Obsession
72(1)
Interesting Slips and Meaningful Mistakes
72(2)
Fantasies, Dreams, Daydreams, and Other Imaginings
74(2)
Undue Special Treatment
76(1)
Isolation of the Client
77(1)
Isolation of the Therapist
77(2)
Creating a Secret
79(1)
Seeking Repeated Reassurance From Colleagues
80(1)
Boredom and Drowsiness as Protective Reactions
81(4)
Chapter 6: Passages and Scenarios for Exploration 85(60)
Beginning and Ending the Session
86(1)
Initial Appointment
87(1)
The Movie
88(1)
The New Client
89(2)
The Therapist's Fear of Showing Feeling: A Passage From Clara Thompson
91(1)
The Perfect Therapist
92(1)
Cognitive–Behavioral Approach to "Ugly": A Passage From Ellen Toby Mass and Joann Paley Galst
93(2)
The Two-Person Practice
95(1)
The Request
96(1)
Telling a Client to Undress During a Therapy Session: A Passage From Milton Erickson
97(3)
Staffing Patterns
100(1)
A Client's Anger at a Therapist's Voyeurism: A Passage From Laura Brown
101(1)
The Requirement
102(1)
Sounds
103(2)
Are Beliefs About Race and Sex Related? A Passage From Leon Williams
105(1)
A Request for Help
106(1)
The Media and the Message
107(1)
Beatings, Grief, Love, and Sex: A Passage From Fritz Penis
108(3)
What You Enjoy
111(1)
A Client in Crisis
111(1)
A Patient's Difficulties Talking About Sexual Fantasies: A Passage From Mardi Horowitz
112(2)
The New Client
114(1)
The Surprise Date
114(1)
A Voyeuristic Response to an Incest Survivor: A Passage From Christine Courtois
115(2)
Adjunctive Therapy
117(1)
The Note
118(1)
Eyes Open
118(1)
No More
119(1)
Your Income
120(1)
Leaving on Vacation
120(1)
Bright, Funny, Articulate, and Likable
121(1)
Normal
122(1)
Fantasizing Love and Marriage With a Patient: A Passage From Harold Searles
123(2)
Saved!
125(1)
The Security Guard
125(1)
The Partner
126(1)
A Therapist Unaware of the Client's Attraction: A Passage From Marny Hall
127(1)
Diagnosis
128(1)
Size
129(1)
Recordings and Photographs
129(1)
A Different Direction
130(1)
Research Data
131(1)
The Right Stuff
131(1)
The Party
132(1)
Misusing the Borderline Diagnosis: A Passage From David Reiser and Hanna Levenson
133(2)
A Strong Reaction
135(1)
Medication
135(1)
A Client Becomes Aroused When Her Therapist Comes to Her Home: A Passage From Helen Block Lewis
136(2)
Descriptions
138(2)
A Suicidal Client
140(1)
The Newspaper
140(1)
Instructing a Client to Imagine Her Breasts Tingling: A Passage From Theodore Barber
141(1)
Feeling Safe
142(1)
Pleasing a Husband
143(2)
Chapter 7: Confronting an Impasse: What Do We Do When We Don't Know What to Do? 145(9)
Consulting
146(1)
Competence
147(1)
Charting
148(1)
Uncharacteristic Behaviors
149(2)
Advances in Theory, Research, and Practice
151(1)
Looking for Logical Flaws
151(1)
The Legal and Ethical Framework
152(2)
Continued Questioning 154(3)
APPENDIX: "Therapists' Anger, Hate, Fear, and Sexual Feelings: National Survey of Therapist Responses, Client Characteristics, Critical Events, Formal Complaints, and Training" 157(26)
INDEX 183(10)
ABOUT THE AUTHORS 193

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