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How to give feedback to the therapist (released in 2019)


the same as No relationship, patient or therapist’s union is affected by misunderstandings. Dealing with conflicts at an early stage helps patients determine if the therapist and therapy are right for them.

We often think of a psychotherapist as “omniscient.” This can make the patient feel unacceptable to complain about the therapy or the therapist.

But many the study We have found that providing feedback is rewarding.According to psychology researcherPatient feedback can strengthen the “therapeutic alliance”.

Similar to the chemistry of relationships, the strong alliance between the patient and his therapist includes openness, trust and collaboration. American Psychological Association, Essential for achieving treatment goals. Regardless of the type of treatment you receive, what matters most is this connection, the foundation of hope.

In their 2015 book “Early Termination of Psychotherapy: Strategies to Attract Clients and Improve Results” Psychologists Joshua K. Swift and Roger Greenberg say that unrealistic expectations for treatment, problems with therapist compatibility, and fear of facing painful experiences threaten to treat patients. He points out that there is a possibility of quitting soon.

Indeed, studies show that 20% of patients receiving mental health care will end treatment immediately, without telling the therapist why.

Here are some suggestions for patients who are thinking about how to give feedback to the therapist.

Therapists can unintentionally upset patients in a variety of ways by overspeaking, overspeaking, mislabeling emotions, and providing one-sided advice. When this happens, brooching the topic by saying “I want to discuss how I feel about getting treatment” or “Your recommendation is useless-the reason is here” is There are two ways to get started.

When dealing with delicate topics, it is often difficult for patients to speak up about their therapeutic concerns. research Psychologists Matt Blanchard and Barry A. Faber suggest.

With one 2016 survey, They found that 72.6 percent of psychotherapeutic patients lied about their treatment experience. Common lies included pretending to agree with the therapist’s suggestions, pretending that treatment would be useful, and obscuring the therapist’s opinions.

In treatment, these white lies can rupture the treatment because it means that the patient’s needs are not met. This is why it is important for patients to discuss the negative or anxious feelings that occur during treatment.

Perhaps the therapist came across as judgmental, started the session late, or did not provide a structured treatment plan. Whatever the therapist’s mistakes, the patient can do it directly by stating why he is upset.

When providing feedback, it’s common to include compliments in critical comments. Organizational psychologists warn that these positive statements, known as “feedback sandwiches,” can drown out negative messages.

The same pattern is demonstrated in treatment. Patients may feel that they need to say something positive as a way to protect the therapist’s feelings before sharing their anxiety. However, while the therapist is trained to care for the well-being of the client, the patient does not have to do the same.

If the therapist feels that the patient has been hurt, it is okay to say, “I was hurt by what you said, so I want to discuss it.” If the therapist shares too much personal information, the patient sets the boundaries by saying, “I’m here to work on my own, so I don’t want to hear your personal story.” can do.

The therapist needs to accept feedback. positive Empathic reactions include apologizing for misunderstandings, suggesting ways to improve treatment, exploring what patients say, and praising their courage to do so. May occur.

However, not all therapists respond professionally to feedback. Some people may label a patient’s behavior as “resistant” or mistakenly associate a patient’s complaint with an unresolved psychological problem. In addition, therapist A person who becomes defensive, angry, or judgmental when receiving patient feedback can be more harmful than good. In such cases, the patient may want to find another therapist.

When the complaint is aired, you will be ready for a solution that may be notified depending on the type of treatment.

Therapist watching Therapeutic relationship As a focus of treatment known as client-centric, psychodynamic, or attachment-oriented therapy, we see feedback as an opportunity to strengthen the patient-therapist alliance.

To do this, they admit the patient’s disappointment, anger, and frustration. These therapists who want to know how the treatment went off course encourage patients to share more. Client-centric therapists also look to see if a patient’s negative emotions are rooted in childhood experience or trauma, as a person’s emotional response may provide clues about the nature of their suffering. maybe. To alleviate future treatment anxiety, these therapists often say, “If I do or say something that makes you uncomfortable, let me know.”

on the other hand, Behavior therapist By introducing, you can meet patient feedback Mental health questionnaire, As a way to collect data on the progress of treatment.They may also ask their patients to complete Behavioral exercises Other than treatment. By doing so, the therapist can see if the patient’s symptoms have improved and make adjustments as needed.

There are various solutions, but patients need to feel that their needs are met and that it is worth continuing treatment.

After establishing open collaboration that welcomes feedback, you can get your treatment on track by checking in for agreed solutions or new treatment plans. Say “I want to revisit my progress in a few weeks” or “Can you let me know if you feel misunderstood in the future?” Useful questions and reminders.

Unlike repairing a broken bone, healing a patient’s emotional pain is not always easy. This means that patients may feel vague about treatment (even after giving feedback) and may be anxious when sharing vulnerable details about child abuse, sadness, severe depression, and intimacy issues. ..

Although many psychological interventions can teach patients how to change their behavior and confront fear, according to researchers and psychologists. Dr. Alan Shore, Ultimately, healing is the emotional communication between the patient and the therapist.

Feedback provides an opportunity for reality and deeper intimacy with the therapist. When this happens, the patient can feel seen and heard, which can be a turning point in treatment and life.

Juli Fraga I’m a San Francisco psychologist. Hillary Jacobs Handel I am a psychoanalyst in New York.



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