PSYCHVINE

Category: Narcissism

In previous session excerpts, Dr. Patricia Smelt paid close attention to the therapeutic alliance which she felt needed nurturance. That’s because her client, Fred, was court ordered to therapy for anger issues and demonstrated defensiveness. Let’s pick up a segment of session 3. Fred arrives at this session steaming, “Alright, doctor, now I have a real problem. My boss told me yesterday that I need a new attitude. Unbelievable. I work harder than anyone there and yet ‘I’ have an…

The following is a second excerpt from Fred’s court referred psychotherapy. Dr. Smelt continues to grapple with achieving a better therapeutic relationship with Fred who remains resistant to this point. Dr. Smelt asks for more information, “Fred, tell me a little bit more about your feeling of embarrassment. Do you feel that way because you’re coming here to see me or is there more?” “I really don’t mind coming to this office all that much. I realize that lots of…

Fred begins this session by asking Dr. Smelt, “How’s it going, Doc? Did you have a good week?” “Just fine, Fred. But I’d like to know how your week went.” “Nothing much happened. Work has been a real bitch though.” “I remember you work for the city in I.T. What kinds of problems have you been having?” Dr. Smelt queries. “I’m overloaded with crap. Too many meetings, too many bosses. Morale sucks. What else do you want to know?” “I…

“Before we go any further,” Dr. Smelt says, “I want to tell you a bit about confidentiality.” “No need,” Fred interrupts, “I know that bull shit. You tell me you’re like a priest, but if the judge wants to know something, you’ll tell him. That’s the real world. All this stuff about confidentiality is a way for you to get me to spill my guts. But, I’m not telling you anything that could get me into more trouble with the…

Only rarely would Dr. Smelt take a referral from the courts. She tended to avoid clients with questionable motivation for therapy which she often found to be the case with such referrals. However, today she makes an exception because the judge made a special plea for her to see this particular patient. The background information that Dr. Smelt received from the court included some of the following: Client name: Fred J. Age: 44 Background information: Fred was arrested for the…

In several previous blogs, we discussed domestic abuse and violence. In the first blog, we reviewed common abusive behaviors known as gaslighting. The second blog discussed more examples of gaslighting behavior. Finally, we wrote on the topic of why people return to toxic relationships. The following TED talk by Leslie Morgan Steiner describes a moving account of one woman’s story.      

1 2 3