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NYU Therapists Personal Involvement Discussion

NYU Therapists Personal Involvement Discussion

Question Description

150 words min. for each peer responses.

Peer #1 J.V

How would you handle the following three situations? What would you specifically do in each?

  1. Your client expresses emotional or physical attraction to you and you have similar feelings for your client.

I would assess the situation using a mindful approach and reflect why these emotions are happening and to what extent the attraction is interfering with providing an effective treatment. For instance, if this attraction preventing the therapist from being fully present and restricting confronting difficult subjects, then it must be addressed, and the client must be referred out. If it basic and easy to get through I would continue with the client’s therapy, and of course express the issues with his behavior and the consequences. However, if it has become difficult to manage, I would refer him out. (Psychotherapy Networker, N.D.) Referring your client out will protect you, your profession and allow the client to have the best therapy possible without any implications.

2.You have feelings of attraction to your client, but you do not know if your client has similar feelings toward you.

I would keep my emotions to myself and carry on as best as possible. If I see that I am not aware to provide the best care/therapy/ interventions, then I would refer the client to another professional worker.

3. Your client expresses attraction to you, but you do not have any feelings of attraction toward your client.

I believe in this situation it is the same as the first considering it is against regulations to act on these types of emotions. It is best to address the client’s emotions and analyze where they are coming from. It could be part of his behavior or reaction to specific coping mechanisms or feeling that have come from the help he is receiving. Once this is discussed if it is easy to manage then I see no problem with moving forward in therapy however if it continues I would refer him out.

Reference,

Psychotherapy Networker, N.D., retrieved from, https://www.psychotherapynetworker.org/blog/detail…

Peer #2: S.S

1.Your client expresses emotional or physical attraction to you and you have similar feelings for your client.

If a client and I have mutual feelings of attraction, and something that I can’t overlook or get past, then I would have to remove myself from the case. I would address this matter with a superior, then discuss transferring the client to a new therapist, possibly new office completely. There is the time limit of at least two years after last professional interaction before engagement with client, which as of 2005 was extended to five years before professionals can enter a relationship with client (Hermann & Robinson-Kurpius, 2006). Knowing this information and that this rule is in place, I’d bring in a third party to mediate discussion regarding this matter and establishing guidelines and monitoring of adherence.

2.You have feelings of attraction to your client, but you do not know if your client has similar feelings toward you.

I would bring this concern to a superior and ask to be removed from case or if I am the boss, remove myself. I would discuss with the client that I am recommending a new therapist/counselor, not mentioning my own feelings towards them, but come up with a more suitable reason. Ultimately making the decision to not enteratain these feelings due to unethical reasoning.

3.Your client expresses attraction to you, but you do not have any feelings of attraction toward your client.

Having experienced this scenario myself, I chose to limit interaction with the client. Luckily this client was one that worked with another therapist, so I didn’t have to be involved with the client. Now, had this been my direct client, I would have a supervisor assess if it would be appropriate for me to continue working with the client or to remove me from the case. Or I would remove myself stating ethical inappropriateness.

Hermann, M. & Robinson-Kurpius, S. (2006). New Guidelines on dual relationships. Counseling Today. https://ct.counseling.org/2006/12/new-guidelines-on-dual-relationships/

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