The Breathing Boundary

All psychotherapy is dependent on a frame, a structure. We require boundaries in order to feel and provide containment. However, when working with patient groups who have been excluded from mainstream risk‐averse treatment we learn more about the nature of professional boundaries. A boundary needs t...

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Bibliographic Details
Published in:British journal of psychotherapy 2017-02, Vol.33 (1), p.6-16
Main Author: Sinason, Valerie
Format: Article
Language:English
Subjects:
Affect
Boundaries
Containment
Disabilities
Disability
Disability Psychotherapy
External and Internal World
Intellectual disabilities
Learning disabled people
Neutrality
Psychotherapy
Respiration
Risk aversion
Transparency
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Summary:All psychotherapy is dependent on a frame, a structure. We require boundaries in order to feel and provide containment. However, when working with patient groups who have been excluded from mainstream risk‐averse treatment we learn more about the nature of professional boundaries. A boundary needs to be nurtured and thought about. It needs to breathe and to come from thought. A rigid boundary is a different matter. Where is the humble concept of not knowing? What makes flexible guidelines become rigidified into inflexible codes and barriers? In interrogating techniques that do not work with people with intellectual disabilities we learn more about shared areas of social disability. This paper focuses on questions of analytic neutrality, affect, anger, transparency, and disability psychotherapy in the external as well as internal world.
ISSN:0265-9883
1752-0118
DOI:10.1111/bjp.12269