Abstract
It is widely accepted that those who provide psychotherapy for others benefit from experience in the client role; most clinicians do, in fact, seek their own therapy, as a sizable body of research indicates. Yet these studies address only one side of the phenomenon: the impact of personal therapy, usually early in their careers, on clinicians’ subsequent practice. Little is known about what happens when seasoned clinicians move in the other direction––from the “therapist chair” into, or back into, the “client chair.” These are a special group of clients, reacting to therapy in ways that other groups do not. As this qualitative study of 30 clinical social workers who have returned to the “patient chair” indicates, there is a unique struggle for identity and control. The paper explores the impact of that struggle on the therapeutic dyad and therapeutic frame, and concludes with implications and suggestions for further research.
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References
Aron, L. (1991). The patient’s experience of the analyst’s subjectivity. Psychoanalytic Dialogues, 1, 29–51.
Barnett, J. E., Lazarus, A. A., Vasquez, M. J. T., Moorehead-Slaughter, O., & Johnson, W. B. (2007). Boundary issues and multiple relationships: Fantasy and reality. Professional Psychology: Research and Practice, 38(4), 401–410.
Bass, A. (2007). When the frame doesn’t fit the picture. Psychoanalytic Dialogues, 17(1), 1–27.
Bellows, K. F. (2007). Psychotherapists’ personal therapy and its perceived influence on clinical practice. Bulletin of the Menninger Clinic, 71(3), 204–226.
Bike, D. S., Norcross, J. C., & Schatz, D. (2009). Processes and outcomes of psychotherapists’ personal therapy: Replication and extension 20 years later. Psychotherapy Theory, Research, Practice, Training, 46(1), 19–31.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.
Ferenczi, S., & Dupont, J. (Eds.). (1995). The clinical diary of Sandor Ferenczi. Cambridge: Harvard University Press.
Fleischer, J. A., & Wissler, A. (1985). The therapist as patient: Special problems and considerations. Psychotherapy, 22(3), 587–594.
Frankel, Z., Holland, J. M., & Currier, J. M. (2012). Encounters with boundary challenges: A preliminary model of experienced psychotherapists’ working strategies. Journal of Contemporary Psychotherapy, 42, 101–112.
Gabbard, G. (2007). Flexibility of the frame revisited. Commentary on Tony Bass’s “When the frame doesn’t fit the picture”. Psychoanalytic Dialogues, 17(6), 923–929.
Gans, J. S. (2011). The role of clinical experience in the making of a psychotherapist. In R. H. Klein, H. S. Bernard, & V. L. Schermer (Eds.), On becoming a psychotherapist: The personal and professional journey (pp. 94–113). Oxford: Oxford University Press.
Ganzer, C., & Ornstein, E. D. (1999). Beyond parallel process: Relational perspectives on field instruction. Clinical Social Work Journal, 27(3), 231–246.
Geller, J. D. (2005). Boundaries and internalization in the psychotherapy of psychotherapists: Clinical and research perspectives. In J. D. Geller, J. C. Norcross, & D. E. Orlinsky (Eds.), The psychotherapist’s own psychotherapy: Patient and clinician perspectives (pp. 379–404). Oxford: Oxford University Press.
Geller, J. D., Norcross, J. C., & Orlinsky, D. E. (2005). Research on conducting psychotherapy with mental health professionals. In J. D. Geller, J. C. Norcross, & D. E. Orlinsky (Eds.), The psychotherapist’s own psychotherapy: Patient and clinician perspectives (pp. 345–364). Oxford: Oxford University Press.
Hoffman, I. Z. (1994). Dialectical thinking and therapeutic action in the psychoanalytic process. Psychoanalytic Quarterly, 63, 187–218.
Mitchell, S. A. (1991). Wishes, needs, and interpersonal negotiations. Psychoanalytic Inquiry, 11, 147–170.
Mitchell, S. A. (1993). Hope and dread in psychoanalysis. New York: Basic Books.
Mitchell, S. A., & Black, M. J. (1995). Freud and beyond: A history of modern psychoanalytic thought. New York: Basic Books.
Modell, A. H. (1991). The therapeutic relationship as a paradoxical experience. Psychoanalytic Dialogues, 1(1), 13–28.
Moleski, S. M., & Kiselika, M. S. (2005). Dual relationships: A continuum ranging from the destructive to the therapeutic. Journal of Counseling and Development, 83, 3–11.
Norcross, J. C. (2005). The psychotherapist’s own psychotherapy: Educating and developing psychologists. American Psychologist, 60(8), 840–850.
Norcross, J. C., Bike, D. H., & Evans, K. L. (2009). The therapist’s therapist: A replication and extension 20 years later. Psychotherapy, Theory, Research, Training, 46(1), 32–41.
Norcross, J. C., Geller, J. D., & Kurzawa, E. K. (2000). Conducting psychotherapy with psychotherapists: I. Prevalence, patients, and problems. Psychotherapy: Theory, Research, Practice Training, 37(3), 199–205.
Norcross, J. C., Geller, J. D., & Kurzawa, E. K. (2001). Conducting psychotherapy with psychotherapists: II. Clinicalpractices and collegial advice. Journal of Psychotherapy Practice and Research, 10(1), 37–45.
Norcross, J. C., & Guy, J. D. (2005). The prevalence and parameters of personal therapy in the United States. In J. D. Geller, J. C. Norcross, & D. E. Orlinsky (Eds.), The psychotherapist’s own psychotherapy: Patient and clinician perspectives (pp. 165–176). New York: Oxford University Press.
Orlinsky, D. E., Norcross, J. C., Rønnestad, M. H., & Wiseman, H. (2005). Outcomes and impacts of psychotherapists’personal therapy: A research review. In J. D. Geller, J. C. Norcross, & D. E. Orlinsky (Eds.), The psychotherapist’sown psychotherapy: Patient and clinician perspectives (pp. 214–230). New York: Oxford University Press.
Orlinsky, D. E., Schofield, M. J., Schroder, T., & Kazantzis, N. (2011). Utilization of personal therapy by psychotherapists: A practice-friendly review and a new study. Journal of Clinical Psychology. In Session, 67(8), 828–842.
Phillips, S. B. (2011). Up close and personal: A consideration of the role of personal therapy in the development of a psychotherapist. In R. H. Klein, H. S. Bernard, & V. L. Schermer (Eds.), On becoming a psychotherapist: The personal and professional journey (pp. 144–164). Oxford: Oxford University Press.
Probst, B. (2014). In the hyphen: Perceptions, benefits, and challenges of social workers’ dual identity as clinician-client. Families in Society, 95(1), 25–33.
Probst, B. (2015). The other chair: Portability and translation from personal therapy to clinical practice. Clinical Social Work Journal, 43(1), 50–61.
Vandenberghe, L., & da Silveira, J. M. (2013). Therapist self-as-context and the curative relationship. Journal of Contemporary Psychotherapy, 43, 159–167.
Wineburgh, A. L. (2013). Mutual transformation. Clinical Social Work Journal, 41(4), 366–375.
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Probst, B. The Search for Identity When Clinicians Become Clients. Clin Soc Work J 43, 337–347 (2015). https://doi.org/10.1007/s10615-015-0522-9
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DOI: https://doi.org/10.1007/s10615-015-0522-9