When Does a Therapy/Helping relationship End?

Organisations such as Cruse proved a quality assured service provided by volunteers which is maintained by what happens in supervision.

The need of the client maybe for befriending, advice, guidance, counselling or psychotherapy. What is important is for supervision to work with the need of the client and the understanding of the role the helper takes on for that client. This understanding will also include espoused theory about how the role and the work ends.

The discussion noted that this understanding of the role is necessary if an ending is to be made. Working in supervision is necessary to help understand the process when either that role is no longer appropriate or the relationship moves onto a different dynamic. This was understood to be what is required of the professional helper.

Here the idea of espoused beliefs and theories-in-use (Chris Argyris) is helpful. The supervision process needs to pay attention to what is said to be the role and its justification, and what the helper is observed to actually be doing and justifying. It is likely that the helping service is enhanced by both supervisor and supervisee consciously seeking to bring this consideration into the supervisory relationship.

One of the sub-conscious theories-in-use in voluntary organisations is likely to be that of voluntarism itself. There is a commonly held and unquestioned assumption that volunteers are not professionals and even that this might mean that as volunteers, we are somehow excused the rigours we expect of ourselves as professional therapists. This has to be challenged in supervision but depends upon supervisors challenging their own theory-in-use of being a volunteer. The notion of professional volunteers is not widely held.

Regarding when the helping process ends, it was remarked that we were all familiar with awareness of ‘who is doing the work’ in the helping/therapeutic relationship. Again, awareness that perhaps the counsellor finds him or herself ‘trying to hard’ or ruminating over when s/he is doing enough, needs to be brought out in supervision. The espoused theory may be that the client does the work, but theory-in-use that I must be helpful and give wisdom to the client can easily lead to taking over the work of change.

Sometime was given to wondering about espoused theory of person centred therapy and that of cognitive behavioural therapy and how you know when the helping process ends. It is expected, in our discussion, that  in CBT we might work according to espoused theory so that the client becomes their own therapist (and with positive cognitions identified to manage a more healthy way of managing change). In PC the continual review of the process with the client so the client articulates for themselves their readiness to be autonomous is an expected outcome. In this process incongruence (spoken of in this context as intuition) informs the therapist that that change is taking place or not as the case maybe. It is helpful in supervision to bring the ‘shoulds’ we carry about our processes and those of the client to the surface for reflection.

Hopefully, helpers can and do keep a reflective journal to capture the thoughts and feelings before leaving a client and going on to the next encounter. In this way the knowing when the helping process ends is a collaborative process in supervision.

When Does a Therapy/Helping relationship End?

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s