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Skittles

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  1. Although the Ethical Framework for the Counselling Professions does not specifically look at the aspect of unexplained endings and how to manage them it does address various issues such as the practitioner's self-care and ensuring that the therapist is competent to work with the client and that they are interacting with other services when appropriate. Below is a list of reasons that a therapist might end therapy and how they can do so whilst following the ethical framework of the BACP. 4.1 It is the practitioner’s responsibility to work within their competence (Ethical Framework, commitment 2) and to demonstrate accountability and candour by ‘monitoring how clients experience our work together and the effects of our work with them’ 4.2 When the client is not benefiting from your work together, or they are not likely to benefit from it, or is likely to be harmed from it, the practitioner needs to ensure they demonstrate accountability and candour: ‘that clients are promptly informed about anything important that has gone wrong in [their] work together, whether or not clients are aware of it, and quickly taking action to limit or repair any harm as far as possible.’ (Commitment 6b) This may mean ending the work prematurely. 4.3 Practitioners who work for organisations need to ensure that their contracts or agreements with the organisations that they work for are clear in respect of how the client’s needs are appropriately addressed if they cease working for the organisation whilst the client is having sessions. It is important that this information is shared with the client when making the therapeutic agreement. 4.4 Practitioners in private practice will need to consider forming their own policies in respect of what will happen to their clients, should they no longer be able to work. 4.5 Possible circumstances that may interfere with the practitioner’s ability to provide ongoing care to clients could be due to retirement, illness, changing work patterns, changes to governance or funding of agency, disability, and even death. It is the practitioner’s responsibility to put clients first by: ‘making clients our primary concern while we are working with them’ (Commitment 1a). The practitioner therefore needs to make arrangements to ensure that their clients’ needs will be addressed and that the clients will not be abandoned should they, for whatever reason, be unable to work with them. Again, normally this is something that should be shared with clients during the contracting process or the start of therapy. In the event of the practitioner being incapacitated or dying it is good practice to ensure that a clinical will is made by the practitioner to cater for all the clients and to minimise the impact on them. This would normally involve agreeing (with both the person, and the client) that another trusted person could contact each client (and or agency) in a situation where the practitioner is no longer able to do this. This person would normally be a nominated person from a particular agency, or for private practitioners, the practitioner’s supervisor, line manager, or an experienced colleague. 4.6 BACP members commit themselves to work to professional standards and ensure that their wellbeing is ‘sufficient to sustain the quality of the work’ (Commitment 2d). So practitioners need to monitor their own health, and practice self-care to minimise the effects of stressors in their professional and personal lives. They should seek assistance from professionals and colleagues to ensure that these stressors do not lead to decreased clinical competence. Members of BACP are also committed to ‘Build appropriate relationships with their clients by: communicating clearly what clients have a right to expect from us.’ (Commitment 4a) so it is crucial to share all information that may impact on the person’s decision to enter into the therapeutic relationship. This includes issues relevant to termination, absences, and procedures for ensuring that clients’ needs between treatment sessions are discussed and agreed with the client in the first session. 4.7 Practitioners do not have a duty to treat clients indefinitely and they do not need the clients’ permission to end the therapeutic sessions. However, they do have an ethical obligation to act consistently with the client’s best interests in mind. It is important that they take necessary actions to ensure that their clients are informed and any ongoing therapeutic needs are sufficiently met if they decide or have to end the relationship prematurely. Conclusion: It is best practice that the ending stage of the therapeutic process is planned jointly between the therapist and the client. However, ‘life doesn't present us with neat helping relationships which end on a cue.’ (Frankland and Sanders, 2006). In the event of an unexplained ending, if the therapist has worked in an ethical way throughout the therapy and made contingency plans for this kind of event, the impact on the sudden ending will be minimised for both parties.
  2. I recommend filling in this survey. At least then our adverse experiences are being noted https://aptmeasureofsafety.wordpress.com/
  3. I read the one about bullying. Sometimes I wonder if I bullied my therapists. They never said so. But I would get hugely angry at them for their mistakes and go on about it and really throw the book at them until they admitted they were wrong. I felt like a three yr old having a strop. They saw a middle aged woman being very assertive and angry.
  4. treating clients with genuine respect. My present non therapist (funny term, he is a therapist but he is not MY therapist and I don't 'do' therapy with him but I do rant to him and rage at him about the bad therapy I have been through) says that he sees people whom he relates to at this deep level, as second family. Obviously his own family are his 'first' family and that feels just right and appropriate to me, but I am part of his second family - those he feels close to but of course he wouldn't pay for my car or help me with my morgage or take me on holiday with him like his own family. That suits me just fine. I am valued and appreciated and he is like a fatherly mentor but we also disagree on stuff (he is into Jesus and I am fed up of 'religions') but he is loving and respectful and appreciative of me. And I love him back. And send him surprise presents to say thank you for being so supportive and kind. and I don't pay him, except occasionally for petrol as he has to drive quite a way if he is coming to see me.
  5. I too find life to be better without therapy. I wonder if I had 'done' with therapy and so was just getting tangled up in mindfucks. Also I am never quite sure of the value of having someone get paid to be that intimate whilst ultimately being distanced by nature of the profession. But I have my ordinary life back. I too don't reel from therapy session to therapy session with all the processing in between, all the 'but you said' and 'why did you say that' and all that shit. I also can just enjoy life. I have a lot of processing to do from the abusive ending. But apart from that, I am freed to move on - no one is dictating my mind state anymore.
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