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	<title>Comments on: :: End times: Coming to the end of psychotherapy</title>
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	<link>http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/</link>
	<description>On the profession, politics, and practice of mental health</description>
	<lastBuildDate>Wed, 28 Oct 2009 03:41:41 +0000</lastBuildDate>
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		<title>By: Gail</title>
		<link>http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-259</link>
		<dc:creator>Gail</dc:creator>
		<pubDate>Wed, 28 Oct 2009 03:41:41 +0000</pubDate>
		<guid isPermaLink="false">http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-259</guid>
		<description>Thanks for the insight on loss.  Grief is really a hard one for me, maybe all.  I tend to avoid. I&#039;m working to reach out, I like your description of the give &amp; take.  Thanks</description>
		<content:encoded><![CDATA[<p>Thanks for the insight on loss.  Grief is really a hard one for me, maybe all.  I tend to avoid. I&#8217;m working to reach out, I like your description of the give &amp; take.  Thanks</p>
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		<title>By: Tom Cloyd</title>
		<link>http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-258</link>
		<dc:creator>Tom Cloyd</dc:creator>
		<pubDate>Tue, 27 Oct 2009 12:49:37 +0000</pubDate>
		<guid isPermaLink="false">http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-258</guid>
		<description>Gail,

First of all, I&#039;m sorry to hear of the death of your mother. We only get one, and for better or worse it&#039;s a life changing experience. Everything I know about mothers and children tell me that the mother-daughter relationship is often especially charged with feelings of various sorts. But then, both people are women, and women have about twice the feelings men do (little known true fact).

So, all that&#039;s to say that I would expect that this would be a Big Deal for you, as indeed you report that it is. It&#039;s another Leaving, akin in some ways, to leaving a therapist. Such things tend to trigger in us very basic questions. How else can it be?

It&#039;s an obvious thing to say, but worth saying anyway: the goal of psychotherapy is to change our inner world, not our outer world. Of course, there IS a relationship, yes? Fundamentally, the primary issue is emotional stability, I think - being able to stay on our feet, or get back up, when life throws us a curve ball. True emotional stability is often a life-long project. Our goal should be simply to keep working on it.

So, with something like the loss of your mother - I think you need to talk with someone who can simply listen. Your therapist has another job, although listening is part of it. Have you thought of seeking out some woman you know who is approximately your peer, and asking them about the loss of their own mother? If it hasn&#039;t happened yet to them, surely they are &lt;em&gt;thinking&lt;/em&gt; about it. The point is to find a social context in which you can safely and simply talk about what you&#039;re experiencing. We MUST do this, because we are social beings.

Don&#039;t worry about being dependent. You don&#039;t really want that, I&#039;m sure, and it&#039;s probably not really a risk. You DO, however, have some real needs. I need to eat. Does that mean I&#039;m dependent upon food? Well, of course, but that&#039;s not really an appropriate use of the word. Neither is its use in relation to your need to share with another human being the experience you&#039;re having.

Feeling loss, and expressing it, is part of being human. You get to do it. You get to expect that you can find someone who will be interesting in taking the time to talk with you about this. It&#039;s fully legitimate.

A technical tip: make your &quot;talking&quot; reciprocal. Such experiences work best when you and the other person are &lt;em&gt;exchanging&lt;/em&gt; meaning. Pay for what you get by giving back. THAT will work just fine.

You&#039;ll have a need to talk about this a number of times, if you experience is like that of other women I&#039;ve known. So, learning how to do it well is important. I hope you&#039;ll give it appropriate attention.</description>
		<content:encoded><![CDATA[<p>Gail,</p>
<p>First of all, I&#8217;m sorry to hear of the death of your mother. We only get one, and for better or worse it&#8217;s a life changing experience. Everything I know about mothers and children tell me that the mother-daughter relationship is often especially charged with feelings of various sorts. But then, both people are women, and women have about twice the feelings men do (little known true fact).</p>
<p>So, all that&#8217;s to say that I would expect that this would be a Big Deal for you, as indeed you report that it is. It&#8217;s another Leaving, akin in some ways, to leaving a therapist. Such things tend to trigger in us very basic questions. How else can it be?</p>
<p>It&#8217;s an obvious thing to say, but worth saying anyway: the goal of psychotherapy is to change our inner world, not our outer world. Of course, there IS a relationship, yes? Fundamentally, the primary issue is emotional stability, I think &#8211; being able to stay on our feet, or get back up, when life throws us a curve ball. True emotional stability is often a life-long project. Our goal should be simply to keep working on it.</p>
<p>So, with something like the loss of your mother &#8211; I think you need to talk with someone who can simply listen. Your therapist has another job, although listening is part of it. Have you thought of seeking out some woman you know who is approximately your peer, and asking them about the loss of their own mother? If it hasn&#8217;t happened yet to them, surely they are <em>thinking</em> about it. The point is to find a social context in which you can safely and simply talk about what you&#8217;re experiencing. We MUST do this, because we are social beings.</p>
<p>Don&#8217;t worry about being dependent. You don&#8217;t really want that, I&#8217;m sure, and it&#8217;s probably not really a risk. You DO, however, have some real needs. I need to eat. Does that mean I&#8217;m dependent upon food? Well, of course, but that&#8217;s not really an appropriate use of the word. Neither is its use in relation to your need to share with another human being the experience you&#8217;re having.</p>
<p>Feeling loss, and expressing it, is part of being human. You get to do it. You get to expect that you can find someone who will be interesting in taking the time to talk with you about this. It&#8217;s fully legitimate.</p>
<p>A technical tip: make your &#8220;talking&#8221; reciprocal. Such experiences work best when you and the other person are <em>exchanging</em> meaning. Pay for what you get by giving back. THAT will work just fine.</p>
<p>You&#8217;ll have a need to talk about this a number of times, if you experience is like that of other women I&#8217;ve known. So, learning how to do it well is important. I hope you&#8217;ll give it appropriate attention.</p>
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		<title>By: Gail</title>
		<link>http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-257</link>
		<dc:creator>Gail</dc:creator>
		<pubDate>Sun, 04 Oct 2009 22:55:58 +0000</pubDate>
		<guid isPermaLink="false">http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-257</guid>
		<description>In re-reading my posting, realized it sounded like I think my mom is always there, when I was actually referring to the experience of knowing my therapist will see me again when I&#039;m in need.</description>
		<content:encoded><![CDATA[<p>In re-reading my posting, realized it sounded like I think my mom is always there, when I was actually referring to the experience of knowing my therapist will see me again when I&#8217;m in need.</p>
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		<title>By: Gail</title>
		<link>http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-256</link>
		<dc:creator>Gail</dc:creator>
		<pubDate>Sun, 04 Oct 2009 22:54:15 +0000</pubDate>
		<guid isPermaLink="false">http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-256</guid>
		<description>I have not looked at your blog in a long while, was pleased to see it&#039;s still going.  It seems so odd to me that while I was struggling with a feeling of being moved on or rejected by my therapist, that when I finally let go and felt the sadness below my anger, it got better.
My mom died in the spring, and since then I&#039;ve actually been seeing my therapist more often.  I&#039;ve grown to trust that when I face something really difficult, she&#039;ll be there for me to work it through.  Just knowing that has allowed me to be more balanced in my view of therapy, to trust that I&#039;ve learned a lot in therapy about my ability to go through hard times and survive.  
Right now, I&#039;m having a resurgance of grief, a feeling of loss.  I would like to meet it well, but feel like I&#039;m still running.  I want to lean on my therapist, but am a little afraid of it being viewed as regression.  Probably what it really is.  I wish one of the things I&#039;d done better was to be able to have a good friend to talk to.  Still not doing well on that front, and I feel somewhat desperate to find comfort with my therapist.  What to do?</description>
		<content:encoded><![CDATA[<p>I have not looked at your blog in a long while, was pleased to see it&#8217;s still going.  It seems so odd to me that while I was struggling with a feeling of being moved on or rejected by my therapist, that when I finally let go and felt the sadness below my anger, it got better.<br />
My mom died in the spring, and since then I&#8217;ve actually been seeing my therapist more often.  I&#8217;ve grown to trust that when I face something really difficult, she&#8217;ll be there for me to work it through.  Just knowing that has allowed me to be more balanced in my view of therapy, to trust that I&#8217;ve learned a lot in therapy about my ability to go through hard times and survive.<br />
Right now, I&#8217;m having a resurgance of grief, a feeling of loss.  I would like to meet it well, but feel like I&#8217;m still running.  I want to lean on my therapist, but am a little afraid of it being viewed as regression.  Probably what it really is.  I wish one of the things I&#8217;d done better was to be able to have a good friend to talk to.  Still not doing well on that front, and I feel somewhat desperate to find comfort with my therapist.  What to do?</p>
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		<title>By: Tom Cloyd</title>
		<link>http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-255</link>
		<dc:creator>Tom Cloyd</dc:creator>
		<pubDate>Thu, 20 Aug 2009 22:33:09 +0000</pubDate>
		<guid isPermaLink="false">http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-255</guid>
		<description>Louise, I presume you&#039;re asking for my opinion, and I say that because there no &quot;right&quot; answer to your question, I think. If we assume he was speaking truthfully, he was engaging in a conversation with you as what he was, a human being who also is a therapist. Is that acceptable to you? I hope so. It is to me.

Some people have trouble relating to their therapist as just another human being, albeit one who has unusual training, education (not the same thing), skills, and experience, and who. as a result of this, is offering a professional service.

Some clients seem to want their therapists to be demi-gods, or Experts, or avatars of some sort. We&#039;re not. We&#039;re just people. We have feelings. We make mistakes. And...we can be really, really useful to our clients. I think it fair to say that overwhelmingly we wish to be, and try hard to be.

So, is it more useful to mislead you about our nature, or to reveal it? I think that in revealing his feelings, he was likely trying to do two things: a) validate and &quot;normalize&quot; your own distress, and b) let you know that you were valued by him, in that your termination was distressful to him as well.

I would ask you to dwell a bit on the latter information: his involvement with you, focused appropriately ON you, was at the same time of value to him. THAT&#039;s about YOU. Were I in your place, I&#039;d appreciate knowing that. 

I know that I value highly all my clients (with the exception a very very small number who simply make trouble in all directions), because they, as human beings, have inherent value, in my eyes. Having contact with that enriches me. I have a very distinct sense of this, and I do share it at times with my clients - when I am moved to do so and it seems appropriate to the context of our work together.

I think it would be quite unusual for someone not to value BEING valued, and I suspect that in sharing his feelings, your therapist wanted you to know something important about YOU. 

I hope you can see his remarks in that light. I do think it is appropriate for therapists to see value in their clients, and express that sense of their value at times. Most of our clients have not had enough of this in their lives, and ALL of us need this appreciation from others from time to time.</description>
		<content:encoded><![CDATA[<p>Louise, I presume you&#8217;re asking for my opinion, and I say that because there no &#8220;right&#8221; answer to your question, I think. If we assume he was speaking truthfully, he was engaging in a conversation with you as what he was, a human being who also is a therapist. Is that acceptable to you? I hope so. It is to me.</p>
<p>Some people have trouble relating to their therapist as just another human being, albeit one who has unusual training, education (not the same thing), skills, and experience, and who. as a result of this, is offering a professional service.</p>
<p>Some clients seem to want their therapists to be demi-gods, or Experts, or avatars of some sort. We&#8217;re not. We&#8217;re just people. We have feelings. We make mistakes. And&#8230;we can be really, really useful to our clients. I think it fair to say that overwhelmingly we wish to be, and try hard to be.</p>
<p>So, is it more useful to mislead you about our nature, or to reveal it? I think that in revealing his feelings, he was likely trying to do two things: a) validate and &#8220;normalize&#8221; your own distress, and b) let you know that you were valued by him, in that your termination was distressful to him as well.</p>
<p>I would ask you to dwell a bit on the latter information: his involvement with you, focused appropriately ON you, was at the same time of value to him. THAT&#8217;s about YOU. Were I in your place, I&#8217;d appreciate knowing that. </p>
<p>I know that I value highly all my clients (with the exception a very very small number who simply make trouble in all directions), because they, as human beings, have inherent value, in my eyes. Having contact with that enriches me. I have a very distinct sense of this, and I do share it at times with my clients &#8211; when I am moved to do so and it seems appropriate to the context of our work together.</p>
<p>I think it would be quite unusual for someone not to value BEING valued, and I suspect that in sharing his feelings, your therapist wanted you to know something important about YOU. </p>
<p>I hope you can see his remarks in that light. I do think it is appropriate for therapists to see value in their clients, and express that sense of their value at times. Most of our clients have not had enough of this in their lives, and ALL of us need this appreciation from others from time to time.</p>
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		<title>By: louise</title>
		<link>http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-254</link>
		<dc:creator>louise</dc:creator>
		<pubDate>Thu, 20 Aug 2009 21:59:39 +0000</pubDate>
		<guid isPermaLink="false">http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-254</guid>
		<description>Hello
I&#039;ve just come to the end of my therapy( not my choice as my therapist is moving away). At the last session I was feeling quite emotional but struggled to verbalise how i was feeling. He told me that he too felt sad about the ending. That was exactly what i feeling, but is this disclosure appropriate from a therapist?</description>
		<content:encoded><![CDATA[<p>Hello<br />
I&#8217;ve just come to the end of my therapy( not my choice as my therapist is moving away). At the last session I was feeling quite emotional but struggled to verbalise how i was feeling. He told me that he too felt sad about the ending. That was exactly what i feeling, but is this disclosure appropriate from a therapist?</p>
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		<title>By: Tom Cloyd</title>
		<link>http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-216</link>
		<dc:creator>Tom Cloyd</dc:creator>
		<pubDate>Sat, 13 Jun 2009 06:03:12 +0000</pubDate>
		<guid isPermaLink="false">http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-216</guid>
		<description>Sam,

Sorry to be late in discovering and responding to your comment. The period of midwinter through late spring is a very busy time for many therapists, including me. It&#039;s our busiest time of year, in many cases. So, I&#039;ve been absent for a few months, of necessity.

This actually relates to your comment. You see, one of the problems we therapists have is that there isn&#039;t enough of us to spread around as much as we might like. Being conservative in the use of one&#039;s time with clients is a necessary self-preservation measure, I&#039;m afraid. 

Much of what you say in your comment suggests to me that you may have issues with abandonment. This can be very painful. I urge you to take this up with your present therapist. It&#039;s important to work on this so that it doesn&#039;t affect you so much in the future. This work, done right, can be rather successful. I wish you the best of luck, if you decide to go in this direction. Have courage, and keep on going!</description>
		<content:encoded><![CDATA[<p>Sam,</p>
<p>Sorry to be late in discovering and responding to your comment. The period of midwinter through late spring is a very busy time for many therapists, including me. It&#8217;s our busiest time of year, in many cases. So, I&#8217;ve been absent for a few months, of necessity.</p>
<p>This actually relates to your comment. You see, one of the problems we therapists have is that there isn&#8217;t enough of us to spread around as much as we might like. Being conservative in the use of one&#8217;s time with clients is a necessary self-preservation measure, I&#8217;m afraid. </p>
<p>Much of what you say in your comment suggests to me that you may have issues with abandonment. This can be very painful. I urge you to take this up with your present therapist. It&#8217;s important to work on this so that it doesn&#8217;t affect you so much in the future. This work, done right, can be rather successful. I wish you the best of luck, if you decide to go in this direction. Have courage, and keep on going!</p>
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		<title>By: PiterKokoniz</title>
		<link>http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-214</link>
		<dc:creator>PiterKokoniz</dc:creator>
		<pubDate>Wed, 08 Apr 2009 05:58:52 +0000</pubDate>
		<guid isPermaLink="false">http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-214</guid>
		<description>Hi ! ^_^
I am Piter Kokoniz. Only want to say that your posts are really interesting
And want to ask you: will you continue to post in this blog in future?
Sorry for my bad english:)
Thank you!
Piter Kokoniz, from Latvia</description>
		<content:encoded><![CDATA[<p>Hi ! ^_^<br />
I am Piter Kokoniz. Only want to say that your posts are really interesting<br />
And want to ask you: will you continue to post in this blog in future?<br />
Sorry for my bad english:)<br />
Thank you!<br />
Piter Kokoniz, from Latvia</p>
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		<title>By: RaiulBaztepo</title>
		<link>http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-208</link>
		<dc:creator>RaiulBaztepo</dc:creator>
		<pubDate>Sun, 29 Mar 2009 16:01:51 +0000</pubDate>
		<guid isPermaLink="false">http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-208</guid>
		<description>Hello!
Very Interesting post! Thank you for such interesting resource! 
PS: Sorry for my bad english, I&#039;v just started to learn this language ;)
See you! 
Your, Raiul Baztepo</description>
		<content:encoded><![CDATA[<p>Hello!<br />
Very Interesting post! Thank you for such interesting resource!<br />
PS: Sorry for my bad english, I&#8217;v just started to learn this language <img src='http://s.wordpress.com/wp-includes/images/smilies/icon_wink.gif' alt=';)' class='wp-smiley' /><br />
See you!<br />
Your, Raiul Baztepo</p>
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		<title>By: Sam</title>
		<link>http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-205</link>
		<dc:creator>Sam</dc:creator>
		<pubDate>Sun, 08 Mar 2009 13:33:50 +0000</pubDate>
		<guid isPermaLink="false">http://sleightmind.wordpress.com/2007/08/01/end-times-coming-to-the-end-of-psychotherapy/#comment-205</guid>
		<description>I went into therapy in June 2007 as I had gone through a period of feeling really low and think I was depressed. My therapist told me she could see me for one year but then she was retiring. I started off seeing her once a week - then about three months in she suggested I go twice a week which I did. I became very attached to her and couldn&#039;t bear the thought of the ending - I told her I wasn&#039;t coping and tried to finish earlier (at Easter) she said I should keep going. I did. Once again I tried to finish a month before the end  but she persuaded me to keep going. In the end I phoned her to say I couldn&#039;t go to the last two sessions - I couldn&#039;t bear it. She gave me the name of another therapist and as I was so distraught I went to see her and have been for the last eight months. The problem is I can&#039;t get the first therapist out of my system - I&#039;m so hurt. Hurt that she never said It would be ok to phone her if I was distressed after the ending and as a result on the occasions when I have I feel like a terrible nuisance. In the meantime my relationship with my partner has broken up too. I can&#039;t seem to move on. I&#039;ve gone through hell, spent a lot of money, lost a relationship and feel like a completely different person. I just wish I could rub out the last two years of my life.</description>
		<content:encoded><![CDATA[<p>I went into therapy in June 2007 as I had gone through a period of feeling really low and think I was depressed. My therapist told me she could see me for one year but then she was retiring. I started off seeing her once a week &#8211; then about three months in she suggested I go twice a week which I did. I became very attached to her and couldn&#8217;t bear the thought of the ending &#8211; I told her I wasn&#8217;t coping and tried to finish earlier (at Easter) she said I should keep going. I did. Once again I tried to finish a month before the end  but she persuaded me to keep going. In the end I phoned her to say I couldn&#8217;t go to the last two sessions &#8211; I couldn&#8217;t bear it. She gave me the name of another therapist and as I was so distraught I went to see her and have been for the last eight months. The problem is I can&#8217;t get the first therapist out of my system &#8211; I&#8217;m so hurt. Hurt that she never said It would be ok to phone her if I was distressed after the ending and as a result on the occasions when I have I feel like a terrible nuisance. In the meantime my relationship with my partner has broken up too. I can&#8217;t seem to move on. I&#8217;ve gone through hell, spent a lot of money, lost a relationship and feel like a completely different person. I just wish I could rub out the last two years of my life.</p>
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