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为什么我不能给你提供咨询?-给力心理
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为什么我不能给你提供咨询?

为什么我不能给你提供咨询?
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发表时间:2015-05-26 10:35:09 240 0 0

 一个亲戚A领着她的亲戚B来找我,说B正陷入心理危机中。我对B进行了详细的访谈和心理评估,判断其症状比较严重,已经达到心境障碍的诊断标准,建议B到医院的精神心理科进行治疗,也告知了哪个医院的哪些医生擅长治疗这类疾病。我也跟B的家人详细交代了能够帮助B的态度和方法。亲戚A对于我的帮助颇为感激,我也自觉尽力了。

       三个月后,亲戚A又告诉我,B经过医院的治疗已经大有好转,能够正常上班了,希望能够找我进行心理咨询。我一方面对于B的症状改善感到高兴,另一方面又不得不婉拒给B提供心理咨询的要求。因为作为心理咨询师,需要遵循的一个重要原则就是:避免双重关系。

       双重关系是指来访者和咨询师不仅是咨询关系,还存在其他的某种关系。B是我的亲戚的亲戚,她希望找我做心理咨询,当然是觉得大家亲戚信得过。可是,一旦我们成为咨询关系,我担心这种亲戚关系会破坏咨询关系。

       因为心理咨询是有边界的。咨询室的墙保持了咨询的物理边界,它使得心理咨询在一个安全的、隐私的、可预测的地方进行,使得一个安全的治疗联盟可以发生。咨询师在价值判断上努力保持价值中立,承诺为来访者保守秘密,在受限制的时间地点,和来访者一起为TA的心理健康工作。心理咨询工作能够起作用,是因为这是隐私的、保密的、有边界的。可是,如果咨询师和来访者还存在亲戚关系,那么可能会出现的情况是:今天来访者刚在咨询室声泪俱下的跟我控诉生活中的某个人,明天就和我一起在那个人的生日派对上把酒言欢,那会是多么的尴尬!TA以后还敢跟我说出TA内心的秘密吗?我在倾听TA吐槽我也认识的某个人时还能保持中立的立场吗?一旦边界消失了,来访者和咨询师会入侵到彼此的生活里,咨询关系会受到污染,这时心理咨询还能发挥作用吗?

       避免双重关系,是保护咨询师,也是保护来访者。我不想在参加亲戚聚会的时候还要被人围观追问某个来访者的心理现状,你也不希望在你敷衍亲友询问的难堪时刻碰到熟知内情的我吧?所以,我可以从我的专业角度出发,为你提供一些建议,但是,我不会做你的心理咨询师。

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本文作者

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公益助人

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收费助人

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长程个案

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续单率

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咨询时
0 性价比

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/" class="a_home">作者主页
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