Download e-book for kindle: Understanding Boundaries and Containment in Clinical by Rebecca Brown

By Rebecca Brown

ISBN-10: 1855753936

ISBN-13: 9781855753938

The authors examine the which means and function of obstacles inside of and round the healing adventure.

The time period boundary is borrowed from geography; as in geography, obstacles can functionality as limitations or delineators. they could “keep in” or “keep out”; they could prevent or let secure passage from one position to a different. A boundary is greater than an easy line delineating one house from one other; it's an entity with homes that call for a reaction in the event that they are to be negotiated. limitations circumscribe an area that may be considered objectively, or skilled subjectively, as a box.

For the uninitiated, this healing box could be tough to penetrate. Even overall healthiness execs resembling GPs and psychiatrists usually have no idea how you can entry psychotherapy firms and their referral networks. additionally, genuine constraints at the availability of counseling and psychotherapy in the nationwide healthiness provider, and the price of deepest area companies, may perhaps restrict entry to the assistance being sought. The e-book explores facets resembling the sluggish evolution of healing barriers in psychodynamic paintings, boundary improvement in infancy and youth, the function of the therapist’s brain and the healing atmosphere, confidentiality and concerns reminiscent of time and cash.

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Sample text

Usually she was exactly on time. qxd 10/31/07 4:00 PM Page 35 Nuts and Bolts 111 2 3 4 5 6 7 8 9 1011 1 2 3 4 5 6 7 8 9 2011 1 2 3 4 5 6 7 8 9 30 1 2 311 4 5 6 emerged that the two minutes represented a two-week break in the therapy which she had been anticipating. In the unconscious, as in dreams, time is experienced in a different way to consciousness. In this case two minutes and two weeks were equated. ’ Apart from the actual words expressed, how the patient uses the beginning and end of the session can be instructive.

This is supported by a professional training and ongoing supervision, but it is also necessary for therapists to have undergone personal counselling or therapy in order to have reached sufficient understanding of their own personal boundaries. There is also physical space outside the consulting room where the therapist might meet his patient. Usually therapist and patient do not meet intentionally outside the therapeutic ‘hour’, but a patient who lives in the same area might be met in local shops or other facilities.

On the other hand, there might be constraints placed on the practioner by funding, by institutional guidelines, or by a training that did not include more intensive work. All these factors can make ‘referral out’ necessary. In the case of referral, there will be an end to the therapist’s involvement with the client. The work will continue elsewhere. How and whether that work proceeds will depend to some extent on how the referral process is handled. The therapist now becomes an intermediary, responsible for both an ending and for a link to a new beginning elsewhere.

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Understanding Boundaries and Containment in Clinical Practice by Rebecca Brown


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