Our patients recreate their problematic relationship patterns with us in the therapy relationship. Our unavoidable participation in these patterns provides a crucial window into their inner worlds.
Our unexpected participation in our patients’ problematic relational patterns necessarily stirs up difficult feelings for us. It is not a question of if we experience difficult feelings but whether or not we can use them constructively, as a source of understanding. Parallel feelings and patterns can emerge in clinical consultation (“parallel process”), often providing rich insights into clinical challenges.
Because clinical consultation is most helpful when therapists speak openly and freely, I work to foster the mutual trust necessary for open communication. In theoretical terms, I strive to provide a frame that facilitates exploration of transference, countertransference, enactments, and parallel process.
Consultation sessions typically move fluidly between process and technique, theory, and practical clinical guidance. I draw on different theoretical models according to their relevance to the individual patient and the clinical material. One theoretical lens does not fit all.