The problem with demand contracts is the client may just lie to you.
As you can see psychodynamic therapy does quite well.
The goal is to stop the drug use but in the very nature of the treatment one is giving permission to take drugs. Same in the Redecision therapy I use
Again it will lead to a sense of feeling heard and feeling some level of relationship building with another person.
At some point one needs to switch from rejecting this part of self to an integration of it.
Never a dull moment when working in a prison and great training for one’s diagnostic skills of some quite unusual forms of psychopathology.
There were three clients I was making appointments with for the next week and they were all very heavily pregnant women. That was all the dream was.
Eventually he solves his own problem and has a plan for how to deal with it in the future. I have said very little and in essence been a spectator to his own processing and working it out for himself.
If one can accept their flaws and bad points that is a very good psychological state of mind to be in.
I do know people like Bob Goulding always said there needs to be a good deal of laughter in therapy. Maybe he was saying this so as to reduce the gallows transaction effect.
One explanation for parallel process is empathy gone wrong.
We have all our fancy theories and techniques but for this type of client it’s just that simple. The person feels a connection with the therapist and that is what really counts.
Psychological change is a very personal and intimate thing that can touch the very core of who we are. If a client reaches out to a therapist and seeks to acknowledge their role in what has been a very personal experience for them, maybe it is a discount not to do so
The client is then asked to respond to the therapist, who is now seen as say mother, in a way they always wanted to, but never did as a child. For instance the client may have been angry at mother but never expressed it, or they only expressed it in a passive aggressive way.
The therapist needs to build a special kind of relational contract with it over a period of time, and regularly maintain that contact in the therapeutic process. One has to go along with its destructiveness at times which can require some very wily and shrewd therapeutic interventions.
It seems safe to say that the natural human condition is to have quite a strong ambivalence about emotional intimacy in relationship.
“I want it but it scares me”.
Hence one could argue, a key component of grief or goodbye work, is dealing with this natural ambivalence about intimacy with another.
This is important from a therapeutic point of view in that the therapist is meant to guide the person to firstly understand the question they are asking and secondly assisting the person to gain some kind of answer to it.
The same testing behaviour can happen in the therapeutic relationship. Any client is already in a vulnerable and emotionally open position in therapy. Or at least that is what will have to happen soon for the person to benefit from the therapy, or little will be achieved.
People are a diverse group. Maybe our psychological theories need to reflect that more so