The Whole Therapist Are Therapists the Boss? Exploring Structure in the Therapy Room
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Aug 16, 2022 Explore how structure and boundaries create safety in the therapy room. Abby and Kellee delve into the nuances of sharing power between therapists and clients. They discuss the importance of saying 'yes' and 'no' to establish clear limits. Discover how children's requests can complicate sessions and the therapist's role in managing these dynamics. The duo reflects on personal experiences that shaped their understanding of boundaries, highlighting the therapist as a 'safe boss' and a vital container for healing.
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Therapist-Led Clinical Decisions
- Bringing other people into sessions should be a clinical decision grounded in theory and client safety.
- Kellee emphasizes asking why it's clinically appropriate before agreeing to include others.
Yeses Can Undermine Safety
- Saying yes to every request can feel like sharing power but may reduce consistency and safety.
- Abby notes that structure and boundaries create predictability that supports client safety.
Leading To Create Safety
- Therapists remain "in charge" by setting structure even when using collaborative approaches like follow–lead–follow.
- Kellee frames leadership as creating safety, not imposing the therapist's agenda.
