Persona 2015 Dictionary Definitions Mutual: (Of a feeling or action) experienced or done by each of two or more parties towards the other or others. a sense of reciprocity is necessary (OED) experienced or expressed by each of two or more people or groups about the other; reciprocal common to or shared by both or all of two or more parties (Collins) Dictionary Definitions Intimacy: Close familiarity or friendship A cosy and private or relaxed atmosphere Closeness of observation or knowledge of a subject (OED) close or warm friendship or understanding; personal relationship (Collins) Discussion What do intimacy and mutuality mean to you? What do they mean to you in a counselling relationship? How do you recognise them? Brian Thorne described 3 phases of a counselling relationship; the 1st is trust, the 2nd intimacy, the 3rd mutuality. Mutuality follows from intimacy, and cannot exist without it. He describes intimacy as the phase where “the client is able to reveal some of the deepest levels of his experiencing” (1991:42) “It is my conviction that person-centred counselling at its best offers both intimacy and the possibility of mutuality.[...] The intimacy and mutuality provided by the counsellor’s companionship, together with his or her capacity ot offer the core conditions in an intense and disciplined way, provides all that is required to enable the highly motivated client to make it to the next temporary destination on life’s journey.” ~ Dave Mearns, 2003:63 Client and counsellor can experience real intimacy in the counselling relationship, particularly when warmth, strong empathy and unconditional acceptance are felt by the client. Yet this intimacy needs to be different in some important ways to that which might be felt in personal and social relationships. It can be friendly and warm, yet at the same time it is not a friendship. ~ Roger Casemore, Therapy Today, vol 22 issue 5 Discussion Thinking of Casemore’s words, what might be the ways in which the intimacy needs to be different from that in personal and social relationships? And how might mutuality in a counselling relationship differ from those others kinds of relationships? What risks might be involved in intimacy and mutuality? Dictionary Definitions Disclosure: The action of making new or secret information known (OED) something that is disclosed the act of disclosing; revelation (Collins) “Any therapist who does not have the comfort and security of being ensconced at either end of the continuum [conservative to radical] has to face the fact that the questions of self-disclosure present real dilemmas.” ~Michael Kahn, Between Therapist and Client Types of self-disclosure What do you think of as self-disclosure? Do you use it in your clinical work? What factors influence your decisions on self- disclosure (e.g. when, what, how to disclose)? Types of self-disclosure Physical – e.g. pregnancy, disability, wedding ring, things the setting might tell about you Background info – qualifications, professional memberships etc Factual – information about yourself Feelings – e.g. congruence training, Discussion Think of an example from either your clinical practice or your experience as a client (or supervisee) where therapist (or supervisor) disclosure has been positive... ...and one where it has been negative. Talk about what made these experiences positive or negative. Against self-disclosure It shifts the focus from the client to the therapist and may become therapy for the therapist It’s not easy to know whose need it is serving – requires a high degree of awareness and reflectiveness to handle well Creation of dual relationships – can lead to client feeling protective/responsible for therapist Can be a way of avoiding painful or serious issues, for both people, and limits client’s ability to discuss therapist competence or assumptions about the therapist We can’t predict the effect it will have on client/relationship Against self-disclosure Danger of inappropriate disclosure and of boundary violations Safety concerns for the therapist Can increase dependency and block self-responsibility Can lead client to censor their own self-disclosure Can lead therapist to make assumptions about client’s experience Not disclosing frees the client from the constraints of a normal social relationship - politeness, turn taking etc – thus allowing them to be “self-centred” For self-disclosure It’s inevitable on some level Transparency demystifies therapy and equalises the relationship Encourages reciprocity where clients may have little experience of sharing Sharing reactions helps clients to understand their impact on others Normalises/validates client experience For self-disclosure Builds trust and relationship – “clients can experience it as respecting and trusting, which can enhance the therapeutic quality of the relationship” (Lambers, in Dryden (ed), 1992) In today’s less formal world, refusal may seem rude, offensive, hostile, and an exercise in power Helps clients determine whether therapist will be non- judgemental and unbiased Evidence shows that it has a positive impact for clients with LGBT or spirituality concerns Research findings Numerous studies since have found evidence of generally positive responses by clients to therapist self-disclosure “In comparison to therapists who do not disclose at all, those who disclose personal or intimate information are viewed more positively by clients” (Watkins, 1990) “results indicated that the therapist's disclosure caused clients to feel closer to the therapist; more in touch with their own issues, feelings and needs regarding similar issues; and appreciative for having a model to follow in terms of discussing difficult issues themselves”. “the significant results of this study suggest disclosure by psychotherapists that they have experienced psychological problems similar to the problems presented by their clients may make a positive contribution to psychotherapy outcome”. ~ A.D. Somers et al, CPR vol 14 no 4 Research findings “The belief amongst all participants who used TSD as a therapeutic strategy was that it was a bonding, empathic, sharing quality that helped address power imbalances within the relationship” Studies suggest that TSD is used by the majority of practitioners irrespective of theoretical orientation. This study reached similar conclusions. ~ L. Carew, CPR 9 (4) Guidelines for self-disclosure Disclosures should be infrequent There are inappropriate and highly appropriate disclosures Qualifications and background most appropriate whereas sexual beliefs generally unhelpful Disclosures should not be burdening, alter client focus, or blur professional boundaries Effective disclosure may be in response to similar client disclosure Therapists should look for reactions and ask for feedback on TSD Disclosure may differ according to client personality or presentation. ~ based on Hill & Knox 2002, in Carew 2009 Sources Bond, Tim: Standards and Ethics for counselling in Action, Sage 1993 Carew, Lynda: Does theoretical background influence therapists’ attitudes to therapist self-disclosure? A qualitative study, in CPR 9 (4), 2009 Casemore, Roger: Clinical distance: a person-centred point of view, in Therapy Today, 22 (5), 2011 Dryden, Windy (ed): Hard-Earned Lessons from Counselling in Action, Sage 1992 Dryden, Windy (Ed): Questions and Answers on counselling in Action, Sage 1993 Kahn, Michael: Between Therapist and Client, revised edition, Holt 2001 Mearns, Dave: Developing Person-Centred Counselling, Sage 2003 Somers, AD et al: Should psychotherapists disclose their own psychological problems?, in CPR 14 (4), 2014 Thorne, B: Person-Centred Counselling: Therapeutic and Spiritual Dimensions, Wiley 1991