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When therapy fails

Unfortunately, despite our best efforts, we occasionally fail our clients. We either get into a rut or the client, under the pretext of lack of money or time, leaves therapy prematurely.
In this workshop, we will examine the conditions indicating early in therapy that things may falter later on. Then we will see in actual clinical cases the impact of certain issues that are common in almost every treatment:

Self disclosure of the therapist
Client’s idealization of the therapist
The masochism of the therapist

Participants are welcome to bring their own cases for discussion.

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    Loss is an inevitable experience in human life and sometimes the after-effects of significant losses can touch much deeper layers of our psyche than those described by our favorite psychological theories.
    We, as therapists, do our best to help clients work through their losses, but how many of those clients can actually process the loss?
    In this seminar we will cover:

    Different types of loss ( anticipated, traumatic, diffuse) and their respective effects.

    Which clients have the capacity to work through their loss

    The conditions that either facilitate either hinder the process of mourning.

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    When does therapy end?

    At what point is a client ready to leave therapy? This important question puzzles not only beginners but also experienced clinicians and its appropriate resolution determines to a large extent the ultimate success of therapy.
    In this seminar we will discuss:
    Early indications for a client’s premature flight from therapy
    Appropriate management of issues surfacing at the end phase of therapy ( what if the client gets worse? What if the client claims that she is ultimately disappointed with therapy? Are we going to slowly wean the client or continue having regular sessions till the last minute? Are we going to schedule regular follow-ups?)
    Presentation of clinical cases where therapy gets into a rut or ends prematurely.
    Advantages and disadvantages of short term vs long-term therapy.

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    Ethical dilemmas in psychotherapy

    Many therapists believe that ethical issues seldom rise in the course of a treatment. Furthermore, they believe that since they behave ethically in all aspects of their lives, naturally their behavior will not provoke ethical conflicts in their professional work.
    However, many issues of ethics are so common and so subtle that they slip by unnoticed, having managed to corrode the therapy process. In this workshop we will discuss some of the more salient issues such as the therapist’s self-disclosure, boundary problems, confidentiality when working with more than one client; we will also discuss more subtle forms of ethics such as the conflict between the values of the therapist with those of the client.
    Actual cases will be presented to highlight these points and you can bring your own for discussion.

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    Clinical Management

    We often believe that all people who ask help are suitable for psychotherapy. However, in many cases, the problems confronting the person cannot be resolved through therapy alone. How do we investigate the suitability of a prospective client for psychotherapy?
    What other resources should we look for to help this client? Are we the right person to help the specific client? What are the common mistakes made by therapists as they endeavour to help people?