The relationship between the psychotherapist and the patient can be a very powerful one. In fact, the existence of power and authority in this therapeutic relationship is vital and inevitable, and every ethic therapist must consider this. Ideally, the therapist uses his or her dominant position in front of the patient to empower him or her in the treatment process, as well as to encourage and guide him or her toward health and independence. Unfortunately, this is not always the case in practice.
In some cases, therapists abuse the asymmetric power relationship in their therapeutic relationships. This can definitely be very harmful for people who seek help from a therapist and do not know exactly what is happening to them.
Your trust in this process and talking about it with your psychotherapist is both essential to the outcome of your treatment. If you have any doubts or concerns about what happened between you and your therapist or how you will be treated, you should talk to your therapist about these concerns in most cases. On the other hand, any of your concerns should be taken seriously by the therapist and resolved immediately.
In the continuation of this article from BingMag Meg, we examine the various dimensions of psychotherapist abuse of the patient in the treatment process and the symptoms of this category. We examine destructive behaviors together and at the end we discuss the necessary actions for each of these different situations. Join us.
How does abuse in medical relationships begin?
There is an old story about how to cook a frog that may be very informative about the early signs of abuse by a psychotherapist. According to this story, if you want to cook a frog, you should not put it directly in boiling water. Because in this case, the frog quickly feels his body burning and comes out of the container with a jump and escapes.
Instead, you should put the frog in cold water and gradually increase the heat. In this case, the frog gets used to the gradual increase in temperature and does not escape the growing danger.
The story is exactly the same about the psychotherapist abusing the patient. If the first time you enter a therapist's office, they immediately behave in a very inappropriate manner, you will reciprocate and leave the therapist's office and never return, just like a frog popping out of boiling water./p>
But if over time you have a healthy relationship with your therapist in which you are completely open and trusting with your psychotherapist and trust him/her, and your psychotherapist sometimes behaves the same way. Which is only slightly annoying, in which case you may find a way to justify such therapist misbehaviors in the context of a therapeutic relationship and ignore them.
In a therapeutic relationship like this, the therapist usually in each A treatment session pushes its boundaries a little, and before you know it, the person who was supposed to help you build a healthy relationship has caught you in a very unhealthy relationship.
The vast majority Clients who are harassed by psychotherapists are women. Most abusive therapists are men, and perhaps twenty to thirty percent of them are women. Behaviors based on the abuse of male and female therapists may usually differ based on the patient's gender.
For male therapists, abuse is often (though not always) sexual in nature. This usually starts with ambiguous and ambiguous behaviors. For example, the therapist initially gives positive feedback about the patient's appearance. Or the therapist may tell your client how smart or special he or she is. This is a kind of prelude to the therapist's subsequent destructive behaviors.
It is natural for clients to want the therapist to love and have a good opinion of them. But it is not at all acceptable for therapists to deliberately try to manipulate the patient's natural desire.
In such cases, the therapist may eventually start making unreasonable requests, sending inappropriate text messages, or taking nude photos. . After that, the extent of the psychotherapist's abuse may even increase with the patient's sexual activity.
In the case of female therapists, the abuse often seems somewhat different. The therapist may ask the patient for help or services that are not ethical or logical to ask the patient. For example, doing household chores or receiving gifts from the patient. This type of abuse, whether by a psychotherapist or a psychiatrist, is a form of medical malpractice that can be prosecuted.
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How to diagnose psychotherapist abuse?
To begin with, what is clear is that under no circumstances should your therapist make a sexual request of you or treat you sexually. It does not matter what the behavior of this behavior is. Even if you express your interest in your therapist, or even if you explicitly suggest to your therapist: Their job is to pursue your own interests.
The patient's interests never include having sex with he's not. Every rational therapist knows that this is unacceptable and in fact offensive.
Here are ten other signs that your therapist may be looking for abuse:
The important thing is: Trust yourself in such cases. If you have a problem with your therapeutic relationship, this is probably the case. you do not need to prove the therapist wrong to terminate a treatment that is not helpful to you.
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Some therapists try to force clients into a relationship and suggest abusive and humiliating behavior to help It is necessary for the therapist to solve the problem (such as the experience of sexual abuse) or, worse, to blame the client for the therapist's own abusive actions. Or the sensitive one exposes him/her in this way to dissuade the patient from leaving the unhealthy relationship.
Staying in a "therapeutic" relationship based on abuse is not only useless, but can also be very dangerous. Approximately 15% of people who are abused during the treatment process commit suicide.
If you think your therapist has abused you, please do not hesitate to seek help or contact Do not feel embarrassed about this. abuse therapists must be held accountable for their behavior. Their responsiveness both helps their victims recover faster and prevents other patients from becoming victims.
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psychotherapist abuse Patient Methods
psychotherapist abusing the patient in a therapeutic relationship include breaking down communication boundaries, creating dependency in the patient, neglecting the patient's duty of care, and hostile behavior toward the patient. Some of these are red lines in a therapeutic relationship and must be acted upon promptly. Boundaries are very important in a therapeutic relationship and many of them are in the form of ethical rules and frameworks that professionals Mental health is required to be observed. In fact, it is your therapist's job to respect the ethical and professional boundaries.
Respecting such boundaries is one way that the therapist builds trust in the therapeutic relationship and in the healing process. Respecting boundaries means that your therapist should not cross them or allow you to cross them as part of a therapeutic relationship. A therapeutic relationship should empower you and enrich your life.
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Some of the boundaries that may be violated by a psychotherapist in a therapeutic relationship are:
Violation of privacy: Sharing your personal information with others, or talking about other people's personal information with you.
Attending treatment sessions in an abnormal state: This includes holding sessions in which the therapist or patient is unable to make a meaningful presence and engage with the treatment process due to alcohol or drug use.
Holding sessions in a state of distraction: < This means that the therapist will do other things during the treatment session, such as doing personal chores, eating out, or answering phone calls.
Non-compliance In the defined time period for the meetings: that the meetings are sometimes a little later than the scheduled time. They cry, or their time is constantly getting longer or shorter, or even the patient not knowing how long the sessions are going to last is a kind of disrespect to the boundaries.
Asking, accepting or waiting for anything Material or immaterial grace from the patient: Small gifts, such as thank-you cards, are okay if exchanged between the patient and the therapist, but one should never expect the person being treated to give something to the therapist./p>
Invite the patient to social events or an out-of-office meeting: Your relationship with your therapist is a professional one and should remain within the professional to help your health. However, therapists sometimes receive invitations from their patients to various social events that must be rejected by the therapist in order to maintain the integrity and safety of the professional relationship, which is the first priority of both parties.
Therapist asks the patient to support their business: Therapists should not receive financial or any other assistance from the patient to support their business. This includes requesting a comment on the therapist's website or social media. Are communicating. The same is true for people who have a close therapeutic relationship with another therapist. In small towns with a very limited number of therapists, this can be difficult, but therapists must strive to strike the best possible moral balance.
Any irony, request, or sexual behavior: All licensed therapists are prohibited from having any sexual contact with people with whom they have a therapeutic relationship. If your therapist encourages you to engage in any sexual behavior, he or she has both violated your trust, broken the law, and abusive behavior can be prosecuted.
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- pressuring you to cut ties with important people in your life who support you .
- Encourage you to make frequent out-of-treatment contacts without reasonable clinical justification
- Denying or reacting negatively to the positive changes you are making.
- Excessive influence over your personal choices, such as leisure activities, relationships, clothing choices, career choices, and pushing you to reveal your healing process to others, or trying to isolate yourself. Other important people in your life
- Suggest or encourage you to use drugs or addictive drugs without a prescription from a qualified doctor or psychiatrist
Some of the above symptoms Are emotionally abusive. you do not deserve such harassment from anyone, let alone your therapist.
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Ignoring a Duty Patient Care
Therapists have specific responsibilities for you, including a legal requirement and It is ethical to actively strive for your well-being and to meet your needs.
Some of the therapist negligence in caring for and assisting you may include the following:
- Failure to address suicidal ideation or homicide that you express during meetings, or encouraging you to engage in such programs
- Ignoring your concerns about your mental health or your priorities in this area li>
- Lack of honesty or secrecy about the goals, process, and effectiveness of the treatment process
- Abrupt discontinuation of the treatment process without your explanation or referral to other qualified therapists, or failure to respond to your needs or requests Reasonable Support
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Hostile or offensive behaviors
Some of the signs that your therapist is engaging in hostile behaviors include:
- Expressing anger too much towards you Or your behavior
- Using insulting, derogatory or inappropriate words addressed to you or about you; It is not uncommon to use obscenity in a treatment room, but it should never be offensive. And be addressed to you or used in ways that are considered scary or offensive.
- shouting at you; It accompanies and this behavior can sometimes be good and healing. However, your therapist should not shout at you in a derogatory or insulting way or in a way that makes you feel scared or upset.
- Violating your boundaries; if When it comes to things you do not want to talk about, or physicality and touching, or even the tone and language that is bothering you, you have set boundaries for your therapist that your therapist should respect and consider. Be. Your therapist may reasonably explain to you the clinical benefits of talking about something that is bothering you. However, this explanation should also be in the form of a respectful and calm offer that will help you, not an angry or hostile request.
- Threatening; you should not Feel threatened by your therapist. Threatening to disclose your sensitive information to others and using it against you inside or outside the treatment session, or ending treatment if you do not follow their instructions are all red marks. In fact, the therapist may feel that in certain circumstances he or she should terminate your treatment, if he or she feels that the treatment with him or her is not beneficial to you or for some other reasonable reason, but this should not be done in such a way that It hurts your emotions or your mental health.
The above scenarios provide an overview of some behaviors that may indicate a problematic or abusive therapeutic relationship. In some of these cases, it can be assumed that there may be a reasonable clinical justification for some behaviors. However, if you feel uncomfortable about your therapeutic relationship, you need to address it because it is so important to your mental health.
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If you are concerned about your healing process or therapist
If you are concerned about the safety or ethical dimensions of your treatment relationship, in most cases it is best to get your therapist's attention first. ( !).
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when, psychotherapist, abuse, you, instead, helping