The Use of Self in Therapy

265 Pages·2012·2.25 MB·English

by  Michele Baldwin (ed.)

The Use of
S E L F
in
T H E R A P Y
Third Edition
Michèle Baldwin
Edited by
The Use of Self in Therapy
One of the most powerful factors in therapy is that it involves the inten-
sive relationship between two (or more) human beings. The issues of
transparency and self-disclosure therefore become important concerns
for therapists; how can they use themselves effectively in their work
without transgressing on professional regulations? These issues and
concerns are addressed in this new edition of The Use of Self in Therapy
by experienced therapists, who share their own wisdom, research, and
experiences in valuable ways.
Disregarding methodology or approach, the authors demonstrate how
to train and develop the self and person of the therapist as a powerful
adjunct to successful therapy. They enable practitioners to become more
effective in helping their clients to realize and regain their own powers of
healing and healthy recovery. This third edition also examines the impact
of increasing professional regulation, as well as the impact of the internet
and social media on the conduct of therapy. Also new to this edition are
discussions of how therapists can use themselves in cultures that are less
individually oriented. This book is a valuable addition to any therapist’s
library and therapy supervisor’s teaching arsenal.
Michèle Baldwin, MSSW, PhD, is a faculty member of the Family Institute
at Northwestern University and a faculty member of the Chicago Center
for Family Health. She also conducts a limited practice of marriage and
family therapy.

The Use of Self in Therapy
Third Edition
Edited by
Michèle Baldwin
First published 2013
by Routledge
711 Third Avenue, New York, NY 10017
Simultaneously published in the UK
by Routledge
27 Church Road, Hove, East Sussex BN3 2FA
Routledge is an imprint of the Taylor & Francis Group, an informa
business
© 2013 Taylor & Francis
The right of the editor to be identifi ed as the author of the editorial
material, and of the authors for their individual chapters, has been
asserted in accordance with sections 77 and 78 of the Copyright,
Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or
reproduced or utilised in any form or by any electronic, mechanical,
or other means, now known or hereafter invented, including
photocopying and recording, or in any information storage or
retrieval system, without permission in writing from the publishers.
Trademark Notice: Product or corporate names may be trademarks
or registered trademarks, and are used only for identifi cation and
explanation without intent to infringe.
Library of Congress Cataloging in Publication Data
The use of self in therapy/edited by Michele Baldwin.—3rd ed.
p. cm.
1. Self. 2. Psychotherapy. I. Baldwin, Michele.
RC489.S43U87
2012616
89′14—dc23 2012025054
ISBN: 978–0-415–89602–3 (hbk)
ISBN: 978–0-415–89603–0 (pbk)
ISBN: 978–0-203–07615–6 (ebk)
Typeset in Sabon
by Refi neCatch Limited, Bungay, Suffolk
Dedicated to my husband,
Bud, for a shared life
of love, work,
and play

Contents
About the Editor xi
Contributors xii
Foreword xiv
CHARLES R. FIGLEY
Preface xvi
MICHÈLE BALDWIN
Introduction 1
MICHÈLE BALDWIN
1 The Therapist Story 19
VIRGINIA SATIR
The Role of Self in Therapy 20
Power and Therapy 22
The Positive Use of the Self 24
My Use of My Self 25
2 Interview with Carl Rogers on the Use of the Self in Therapy 28
MICHÈLE BALDWIN
3 Revealing Our Selves 36
CHARLES H. KRAMER
Why Self-Disclosure? 38
Guidelines and Suggestions 40
Risks of Self-Disclosure 45
Benefi ts from Risking Openness 47
The Pull of a Style 57
Medical Practice 58
Psychiatry and Psychoanalysis 59
Child Psychiatry and Family Therapy 60
viii Contents
4 Some Philosophical and Psychological Contributions
to the Use of Self in Therapy 64
DEWITT C. BALDWIN JR.
Introduction 64
The Concept of the Self 65
The Contributions of Existential Philosophy 68
The Concept of the Self in Psychoanalysis and Psychiatry 72
The Infl uence of Existential Philosophy on Psychotherapy 74
Some Thoughts on the Use of Self in Psychotherapy 76
5 The Implications of the Wounded-Healer Archetype for
the Use of Self in Psychotherapy 81
GRANT D. MILLER AND DEWITT C. BALDWIN JR.
Introduction 81
Polarities 82
The Myth of the Wounded-Healer 82
Recent Interest in the Wounded-Healer Archetype 83
A Model for Viewing the Healing Process 84
Critical Elements in the Healing Process 87
Related Considerations 92
Summary 94
6 Uses of Self in Therapeutic Boundaries: Lessons from
Training and Treatment 97
FRED P. PIERCY AND ANNIE K. BAO
Introduction 97
Self-Disclosure 98
What is Appropriate to Introduce into Therapy? 100
Dual Relationships 101
Acknowledgment of Clients Outside of Therapy 102
Who Should You Work With? 103
Greetings and Send-Offs 104
Conclusion 106
7 The Self of the Addiction Counselor: Does Personal
Recovery Insure Counselor Effectiveness and Empathy? 109
MERI L. SHADLEY AND COLLEEN JO HARVEY
Origins of the Substance Abuse Profession 110
The Wounded Healer 112
Shame in Recovery 113
The Self of the Therapist 115
Contents ix
Self-Disclosure 116
Effectiveness 117
Self of the Therapist Training Model 119
SPATS 120
Therapists’ Use of Self 122
Use-of-Self Styles 123
Closing 123
8 Functional Analytic Psychotherapy and the Use of Self 128
BARBARA S. KOHLENBERG
Functional Analytic Psychotherapy’s Focus on the
Here and Now 129
Clinically Relevant Behavior 130
The Five Rules of Therapy 132
The Rules of the Technique 133
Maximizing the Therapist as an Instrument of Change 137
Conclusion 139
9 The Person and Practice of the Therapist:
Treatment and Training 141
HARRY J. APONTE AND JOAN E. WINTER
Fundamental Therapeutic Skills 141
Inception of the Person-Practice Model 147
Theoretical Framework 148
Training Models for the Person of the Therapist 155
Goals in Training the Person of the Therapist 159
Conclusion 161
10 Congruence and the Therapist’s Use of Self 166
PETER K. H. CHEUNG AND GRACE Y. K. PAU
Sorting Out Some Confusions 166
Congruence is Resonating with What One Feels (Ying Wu) 168
Congruence is Letting “What One Feels” Emerge in an
Interactive Process 170
Three Qualities of a Congruent Interaction: Congruently
Connected is Connected and Free 174
Congruent Acceptance Accepts the Not-Accepting 177
Being Congruently in Charge is to Nurture the Good in
All Things, Quietly and Respectfully 179
Therapist Congruence is the Condition for the Therapist’s
Use of Self 181