Maintaining Boundaries as a Wounded Healer Wanda Binns, LCSW-C Peggy Burns, LCADC 4-19-2018

Video-Boundaries

THERAPIST CODEPENDENCY ISSUES PRIDE. “I can always fix my patients THERAPIST CODEPENDENCY ISSUES PRIDE “I can always fix my patients.”   SHAME “There must be something wrong with me because I failed.”   DOUBT “I must be a lousy therapist because my clients never get well.”   OVER- “I have to try harder to succeed.” COMPENSATION   BURNOUT “I am so exhausted I can’t go on. I can’t do this work any longer.”   Philip J. Beebe, The Codependent Counselor 1990

PROFESSIONAL BOUNDARIES

PROFESSIONAL BOUNDARIES

Professional Boundaries for Substance Abuse Counselors and Clinicians When we talk about professional boundaries, we are referring to the ethical guidelines and expectations that a professional uses to guide their everyday interactions with the client’s and families that they serve. It is necessary for the clinician to clarify their role at the beginning of the therapeutic relationship so that the boundaries are clear. Why might we want to make this clear from the beginning? Substance Abuse Counseling: Understanding Professional Boundaries Absolute Advocacy

What are Boundaries

Boundary Crossing vs Boundary Violations Boundary Crossing – deviation from classical therapeutic activity that is harmless, non exploitive, and possibly supportive of the therapy itself. ie: Attending a student’s school play, musical, recital, or sports event Boundary Violation- is harmful or potentially harmful to the patient and the therapy process ie: (sexual exploitation

Giving and Receiving Therapy can be seen as an exchange of giving and receiving. The conventional view can be seen something like this: Some things Patients are Expected to Give Show up for appointment Provide an intimate probably embarrassing history Cooperate with every life detail they are asked about Look at and change unhealthy aspects of life Take the risk of feeling rejected and misunderstood Pay or get someone to pay, a fee

Some Things Patients Hope to Get Guaranteed, exclusive time Accurate, compassionate listening High powered expertise Healing Relief of symptoms Love and attention missing in life(unstated, yet most important)

Some Things Therapist are Expected to Give Professional time and expertise Attention Thoughtful, ethical clinical responsibility Techniques based on theory Commitment to success

Some Things Therapist Hope to Get Expression of altruistic compassion for people in trouble Satisfaction of caring for and helping others Joy in practicing our chosen profession Seeing years of training bear fruit Making a living Revealing Ourselves-Charles H. Kramer The Use of Self in Therapy Third Edition Edited by Michele Baldwin

WOUNDED HEALER

Myth of the Wounded Healer THE PARADOX OF ONE WHO HEALS AND YET REMAINS WOUNDED LIES AT THE HEART OF THE MYSTERY OF HEALING

The Wounded Healer “The Wounded Healer” was one of the most important archetypes identified by Carl Jung. He viewed Chiron as the ultimate example of how we can all overcome the pain of our own suffering by becoming compassionate teachers and show others how they too can transcend their own pain. You see the wounded healer is someone who has gone through great suffering and learned from the experience. The Wounded Healer Saturday, 4/26/14 Posted by Rev Danat 14:26 Labels: Carl Jung, Chiron, Compassion, Henri Nouwen, Heracles, Jaws, Pema Chodan, Pesah Gertler, Rachel Naomi Remen, Unitarian, Wounded Healer

Video-Transference

TRANSFERENCE Transference as (defined by Jackson, 2009) Certain unconscious redirected feelings, fears or emotions from a client towards the counselor that actually stem from past feelings and interactions with others and is transferred into the current counseling relationship Jackson, K.C, (2009) Counseling Transference/Countertransference

TRANSFERENCE

Video-Countertransference

COUNTERTRANSFERENCE Unconscious attitude that a therapist, counselor, nurse, etc., develops towards a client/patient in response to the client’s or patient’s behavior

Transference/Countertransference Transference and countertransference have been studied over the past 40-50 years. (Jung, 1946; Fordham, 1957; Gordon, 1968; Masterson, 1983: Sedgwick, 1994) Counselor -The Magazine for Addiction Professionals -2001