You know, I think everybody I've seen has come from some other therapy, and almost invariably it's very much the same thing: the therapist is too disinterested, a little too aloof, a little too inactive. They're not really interested in the person, he doesn't relate to the person. All these things I've written so much about. That's why I've made such a practice really, over and over to hammer home the point of self-revelation and being more of yourself and showing yourself. Every book I write I want to get that in there.
One reason patients are reluctant to work in a therapy group is they fear that things will go too far, that the powerful therapist or the collective group might coerce them to lose control--to say or think or feel things that will be catastrophic. The therapist can make the group feel safer by allowing each patient to set his or her limits and by emphasizing the patient's control over every interaction.
To the best of my knowledge, every acute inpatient ward offers some inpatient group therapy experience. Indeed, the evidence supporting the efficacy of group therapy, and the prevailing sentiment of the mental health profession, are sufficiently strong that it would be difficult to defend the adequacy of the inpatient unit that attempted to operate without a small group program.
Therapists need to have a long experience in personal therapy to see what it's like to be on the other side of the couch and see what they find helpful or not helpful. And if possible, get into therapy at different stages of their life with different kinds of therapists just to sample a bit.
One doesn't do existential therapy as a freestanding separate theory; rather it informs your approach to such issues as death, which many therapists tend to shy away from.
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