10/19/2024
I can tell you how I know that a relationship with a client will be productive for them. It happens in the screening call. After they explain their goals, when I then turn to therapeutic strategy, they begin to associate emotionally with random events from decades prior.
In "Existential Psychotherapy," Irvin Yalom points out that almost all therapies lead to early gains - because the client comes in committed to improvement. Unfortunately, no model of therapy seems to have any greater benefit over any other at the 18-month benchmark. As a consequence, anyone telling you that they offer an "evidence-based therapy" is citing studies that didn't have an 18-month follow-up.
Yalom emphasizes that therapy is relationship practice. He prefers a group setting because too many clinicians adopt a privileged attitude to their clients, making authentic relationship impossible.
As a hypnotherapist, I can't afford such egotism. My job is to teach the client to talk constructively to themselves. As life has no end to the curveballs it will throw, if the benefits of therapy are going to last, they need to learn to be their own therapist. My job is to teach them.
Going back to that first conversation, I know that the caller "falls in love" with me - not in the romantic sense, but in the sense of which Yalom speaks: that we exist only through the witness of those that love us and that we have meaning because they show gratitude for the gifts that we offer. After a lifetime of clinical work, Yalom found that love is the foundation of mental well-being.
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