she regularly offers direct opinions about/interpretations of things ilya says, very early in their therapeutic relationship. "that must have been very hard" in response to his father's expectations of him (which he interprets as being about sochi--he seems to hear 'it must have been hard for you to fail like that', which is, uh, bad!), "it's good that you had that," etc. in spite of the fact that he's already indicated a complex relationship with his family and himself that mean he might feel quite differently than someone else expects! was it good that he had hockey, or did it just create another burden on him and his relationship with his father, or is it somewhere in the middle? did his father's expectations feel hard? traumatizing? was he proud that so much was expected of him? when did he notice those feelings? just some questions i might ask. describing how ilya must feel about things closes off conversation.
her affect and presentation in the session: ilya repeatedly notices her masking her reactions to things, like the fact that he became sexually active so young. i guess technically you're still allowed to be a blank slate style therapist, even though i don't know anyone who still does this. but if you're a blank slate, be a blank slate. don't let patients notice that you're hiding your reactions to things. so for instance i would approach that conversation by having whatever reaction i had and then saying, "you might notice i had a reaction to you saying that," and either asking the patient how they interpreted my reaction or asking them if they'd like to know what i'm thinking (and then how does it feel to know that i'm feeling concerned, etc, the relational field goes on forever). my way isn't the only way but if you're visibly swallowing reactions it's bad.
she doesn't check in with ilya about how he's feeling about therapy and dismisses his fear that it's not working. tbh the only thing she says that i like is "i'm good, but i'm not that good," which IS something i might say. but she doesn't go from there, it becomes a way of dismissing his fears. i would have asked what it's like to have to tolerate such a slow and uncertain recovery process. does he think therapy can help? are there ways in which it has helped? how does it feel to talk about it? how does it feel to talk to me about it?
bizarre attitude towards self-disclosure. she gives ilya next to no information about herself, which, again, is an old-fashioned but not per se wrong way to do it. just because i'm the relational yapper machine 3000 doesn't mean that every therapist needs to tell their patient anything about themselves. but she does self-disclose twice. she tells ilya that she's watching their season/is a hockey fan, and makes a weird comment that she also enjoys shopping as a coping mechanism but that bedsheets are more in her price range than sports cars. even though i'm the yappatron 3000 i would not choose to make these particular disclosures! admittedly if i had a famous patient and i knew about their career i would probably tell them that directly in the first session, i would not however make asides about it because now you're kind of creating a dual relationship. the bedsheets thing is weird bc you gotta keep a wiiiide birth around anything even quasi sexual, like don't invite a patient to imagine what your bed is like you weirdo. also finances are usually an inappropriate thing to self-disclose, because therapy is also a financial relationship! i would never joke about how a patient has more money than me (even though most of my patients have a lot more money than me), it seems likely to induce guilt and also to disturb the therapeutic frame around money which is hard to manage anyway
tangentwithtanner
dailybridgerton
andulkaphoto
areudirty
vaporwave
