The therapeutic Relationship - 3. Boundary Violations

[@charlesamrhein1292]

wow, I'm fairly familiar with sexual boundary violations in the history of our craft . but your presentation is unique, beyond what I imagined anyone would produce outside of a book. amazing and well done, this is a vital contribution to our history, thank you.

[@ANessunoInteressaLaPoesia]

I have appreciated the honest approach to the issue.

[@mrsmrs1200]

Odlično obradjena tema. Hvala

[@havadatequila]

Is it a boundary violation If a psychoanalyst has a feeling that he's "saving" the patient or is the only one that can provide the curative element to the patient? Or is that part of the psychoanalytic process?

[@marcies1297]

Violation only.if the therapist isnt able to resolve those feelings and not act on them.

[@aleksandardimitrijevic4666]

Dear Havadatequila, boundary violations are mostly about feelings or beliefs being transformed into unreflected actions. So, if the analyst you are describing is not doing anything about this, there is still space to prevent the problem. yet to prevent it, one must work on the feelings and beliefs. In this case, it is obvious that the idea is out-of-proportion because no therapist is saving people and many others can be equally helpful (if not more). Many of us begin training with the idea some label "Saviour Complex" but they can hopefully be overcome with the help of personal analysis. I hope this helps!

[@marcies1297]

@@aleksandardimitrijevic4666 lol...exactly what i said in a less winded way

[@bellakrinkle9381]

Ideally, the patient is the one who wants to save his/her self and has an understanding of some of their issues. (I won't ask anything about projection.)

[@karensilver8853]

My own analyst was trained in England. They evidently are trained to shake hands with the patient. American-trained analysts would be horrified by the very IDEA. I didn't feel seduced and it didn't mess with the therapeutic situation. It seems to me that there is a lack of interpersonal respect in an excess of abstinence. It is a very good presentation and worth viewing more than once.

[@bellakrinkle9381]

I can't speak for all Americans, but I do not consider a hand shake a sign of respect. A hand shake is appropriate at the time of a first meeting, yet redundant after that, especially if there are multi-session each week. Respect is achieved within the analytic relationship, or not. The only time I shook hands with my 'analyst-in-training' was after my announcement of termination. He was shocked when I extended my hand, and as I recall, slighty reluctant. It was a very long analysis that was poorly designed, and going nowhere many years. It was a classical psychoanalysis, furthermore, attachment theory was not acknowledged, although it had been introduced elsewhere. He and I were not a good "fit" and were equally unable to develop a helpful working relationship.

[@eileenodonnell8376]

Everyone talks about the sexual boundary violations. Can you address something worse, the perversion of abstinence, for example when the "refrigerator analyst" withholds all reactions in order to push the patient down into a masochistic position or to break them for their own gratification? I have witnessed this more than once.

[@lenavoyles526]

Would you please cite the historical documentation regarding Jung and involvement with his patients? I did quite a bit of research on this after the Hollywood film A Dangerous Method came out, and I could find no evidence of any romantic entanglement between Jung and any of his patients. All I found was that later in his life, one woman who refused to be a patient became a lover, and this occurred with the consent of Jung's wife (the relationship seems to have been essentially polyamorous).

[@ZsofiaElek-q1f]

This statement is inaccurate about Ferenczi. He avoided repeating the trauma of Elizabeth Severn in their relationship. I would add that back then psychotherapy was very new and there was no clarity of boundaries or what should and should not be done in relation to the patient.

[@bellakrinkle9381]

Yes, Ferenczi practiced in the early 20th century, as did Freud. By the time I learned about psychoanalysis it was early 1970s.By then, classic or tradional psychoanalysis was practiced. I believe the above comment of masochism is someone's personal interpretation, yet I genuinely don't know. My training analyst (I was a student with no money) adhered to being only a distant observer who rarely uttered a word and showed no empathy. As far as I recall, now, I only told him zillions of my dreams, which he NEVER (was able) to interpret. After a couple of years he said that I had been emotionally abused, yet there was no follow up discussion. I believe (hope) analysis has become more useful these days.

[@bellakrinkle9381]

The new therapies that encourage countertranceference are opening pandora's box. These are the least qualified "professionals" to know how to use countertransference as a tool.