20190926_040830176.pdf - say ‘no’ to the needs of those...

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say ‘no’ to the needs of those types of clients. “I know something about myself, if somebody was in need, I would never say ‘no’” (PG, L627-628). PG describes how this would be particularly difficult if she worked in private practice and wonders if that is why she hasn’t chosen this route for her career. “…maybe that’s 123 why I choose to work here, because it doesn’t kind of affect me that way. I think if I worked from home, in private practice, it would test me” (PG, L639-641). PG appears to have avoided private practice for fear of being able to uphold boundaries. Could PG be responding with a narcissistic need as Barnett suggests? Initially, I felt that it was the client’s need which motivated PG. However, further investigation suggests that it is actually her need which motivates her to break those boundaries. “I couldn’t be that person who didn’t respond in their hour of need. I know that. Whatever time that was” (PG, L636-637). PG suggests that being ‘that person’ who didn’t respond to a client in need is shameful and infers that there would be a level of guilt by not responding. Therefore, PG admits that she would respond whether there was a breaking of a boundary or not. This does suggest a level of narcissistic need as described by Barnett as PG did not want to be viewed by the client as ‘that person’. However, PG advises us that she can respond similarly in her personal life. “I struggle when someone becomes very needy of me. And when that neediness kind of spills over to kind of consume the relationship, and I`ve had friendships were that’s happened. The friendship, the relationship has really been about this other person” (PG, L252-255). Suggesting that for PG the impact of shame is the same whether she is responding personally or professionally. PG has decided to live with this shame and deal with the consequences. It is arguable, however, whether PG has incorporated shame as part of a ‘secure therapeutic identity’ as described by Henderson (2006).
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  • Fall '19
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