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Four Basic Premises
This is a two CD series. The first CD in this series will cover: basic premises; attitudes and behaviors; gender culture; use of defense mechanisms; security vs. growth; middle-class values; setting session tempo; nonverbal communication; touch; and acceptance that leads to expectations.
The second CD will discuss the boundaries issues of: self-determination, transference
and counter transference, friendship versus partnership; judgments; setting the
session focus; partialization; advice giving; making promises; confrontation;
manipulation; and referrals.
#2. The right of self-determination is also a basic ethical premise that raises boundary issues. Later on this CD we will explore the issue of suicide. However, with a suicidal client you treated, where did you set the boundary between freedom and commitment to an in-patient unit?
#3. A third philosophical basis of the therapeutic relationship is the right to share the benefits of society, but at what point does your client with a substance-related disorder lose his rights to share the benefits of society? Let's explore this one further. Some substance-use treatment professionals have criticized the classification of substance-use disorders by the DSM, Diagnostic and Statistical Manual, as simplistic and too straightforward.
They have argued that substance use cannot be forced into the two arbitrary categories of abuse or dependence, but rather that substance use represents a continuum that ranges from non-use to dependency. With your last "substance-related disordered client," what criteria did you use to set a boundary in the gray area of the DSM classification system, which many view as inadequate, regarding court orders to a treatment facility and depriving the client of his or her right to benefit from societal freedom?
#4. The mutual rights and responsibility between your client and society is a philosophical
basis of the mental health professions. Now, regarding the boundary between rights
of your client, versus the rights of society...ask yourself...the last time your
client threatened to harm an identifiable other, where and how in your mind did
you draw the limit regarding a need to warn or not warn the other party?
Four Basic Premises Examples
"awareness" I mean my ability to deal with my personality patterns and
client issues, as they may relate to my life experience, which may cloud my ability
to relate to the client.
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