When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and TherapyBartlett, Steven J.
Science
When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and Therapy
Bartlett, Steven J.
Consumer education; Counseling; Psychotherapy
Sometimes this is a justifiable worry. Some employers are bigoted and
may discriminate against employees with known emotional problems (even
though this is blatantly illegal). And some families, in which there
is little psychological understanding and much fear, may withdraw from
a family member who lets it be known that he or she is in emotional
distress.
On the other hand, most people like to feel that they have a certain
degree of compassion and openness--even those who are judgmental! If
you are willing to face ignorant attitudes head-on, unflinchingly (and
this can take a great deal of courage), you will frequently gain the
respect of others through your honesty. They will perceive your
unwillingness to judge yourself negatively and may even come to admire
the strength and determination you have to improve your life.
If you are in emotional distress, you may have to face a dilemma:
whether it is _prudent_ to try to conceal your difficulties from people
because you believe that some of them may judge you harshly and
critically if they find out you are in therapy, or whether it is likely
that they would understand, and perhaps even sympathize, if you were
able to be open and had the courage and self-confidence to help educate
others on a psychological level. Unfortunately, people in real
emotional distress don't have the energy, the courage, or the
self-confidence to fight social battles! It therefore usually seems to
be a great deal easier to try to keep your own affairs _private_. But
this is not always simple to do.
THE CONFIDENTIALITY OF PSYCHOTHERAPY
Confidentiality as it relates to counseling and psychotherapy is not a
straightforward thing; much that has to do with confidentiality is
still an unsettled and still debated issue. In reality, there are as
yet few laws that fully and genuinely protect personal privacy.
There are two central questions relating to confidentiality that I want
to raise here. The first is a question only you can answer. I will
try to discuss some of the answers to the second.
{259}
HOW IMPORTANT IS CONFIDENTIALITY TO YOU?
Only you can answer this. It may be reassuring to know that, usually,
the safeguards observed by therapists are sufficient to protect the
personal affairs of clients. And it is unusual for any real or lasting
harm come to a client if information about him or her is released.
Many individuals, when they are trapped in a prison of self-concern and
self-involvement, are prone to exaggerate or magnify the ultimate
significance of being "discovered" in therapy, believing that a release
of information about them will be potentially explosive and damaging.
Individuals who are emotionally very upset are inclined to focus on
threatening aspects of therapy.
Public-domain text, read in full here on John Shaqi.
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