PSYCHOTHERAPY WITH PSYCHOTHERAPISTS FLORENCE W. KASLOW, PH.D. EDITOR Florence W. Kaslow, a Ph.D. from Bryn Mawr College, is in independent practice as a therapist and consultant in West Palm Beach, Florida. She is also Director of the Florida Couples and Family Institute and is an adJunct professor in the Department of Psychiatry at Duke University Medical School. Dr. Kaslow was a professor and Chief of the Forensic Psychology/Psychiatry Section at Hahnemann Medical University in Philadelphia from 1973-1980. She also served there as Codirector of the Ph.D./J.D. program in psychology and law, which Hahnemann cosponsored with Villanova Law School. She served as the first President of the American Board of Forensic Psychology, Inc. from 1978-1980. Dr. Kaslow was Editor-in-chief of the Journal of Marital and Family Therapy from 1977 through 1981 and is currently on its editorial board and on the editorial boards of Marriage & Family Review, Journal of Sex and Marital Therapy, Family Relations, Conciliation Courts Review, Journal of Divorce, and both the Italian and the Argentinian Journal of Family Therapy. She has edited and coauthored booKs on supervision and consultation and on family therapy, has contributed chapters to many other books, and has had over sixty articles on a wide range of mental health and forensic topics published in professional Journals. Dr. Kaslow is a Diplomate in Clinical Psychology of the American Board of Professional Psychology (ABPP), a Diplomate in Forensic Psychology of the American Board of Forensic Psychology (ABFP), a Diplomate in Family Psychology of the American Board of Family Psychology (ABFAMP), and a Fellow of the American Psychological Association (APA). She has traveled extensively throughout the United States and numerous other countries including Norway, Japan, South Africa, Canada, Israel, and England conducting worKshops and lecturing. She is a frequent guest on radio and TV shows in the United States. Copyright © 1984 Florence Kaslow EbooK Copyright © 2014 International Psychotherapy Insitute Selections from The Seasons of a Man’s Life, by Daniel J. Levinson et al, appearing in Chapter 8, have been reprinted by permission of Alfred A. Knopf, Inc., copyright 1978. All Rights Reserved This e-book contains material protected under International and Federal Copyright Laws and Treaties. This e-book is intended for personal use only. Any unauthorized reprint or use of this material is prohibited. No part of this book may be used in any commercial manner without express permission of the author. Scholarly use of quotations must have proper attribution to the published worK. This worK may not be deconstructed, reverse engineered or reproduced in any other format. Created in the United States of America For information regarding this book, contact the publisher: International Psychotherapy Institute E-BooKs 301-215-7377 6612 Kennedy Drive Chevy Chase, MD 20815-6504 www.freepsychotherapybooKs.org [email protected] CONTENTS CONTRIBUTORS ..................................................................................................... 8 FOREWORD ............................................................................................................ 10 PREFACE ................................................................................................................. 13 1 THE THERAPIST IN BEHAVIORAL AND MULTIMODAL THERAPY .... 16 EDITOR’S COMMENTARY THE CLARITY AND DEFINITIVENESS OF MULTIMODAL THERAPY ..................................................................................... 46 2 PSYCHOANALYTIC TREATMENT FOR THERAPISTS, RESIDENTS, AND OTHER TRAINEES ....................................................................................... 49 EDITOR’S COMMENTARY WHEN THE THERAPIST SEEKS ANALYSIS ........ 70 3 THE INTERFACE OF PERSONAL TREATMENT AND CLINICAL TRAINING FOR PSYCHOTHERAPIST TRAINEES ......................................... 73 APPENDIX 1 TRAINEE QUESTIONNAIRE .............................................. 118 APPENDIX 2 THERAPIST QUESTIONNAIRE ......................................... 119 EDITOR’S COMMENTARY THE FLIP SIDE OF THE COIN—THE FRESHNESS OF STUDENTS’ PERCEPTIONS ....................................................... 120 4 HYPNOTHERAPY WITH PSYCHOTHERAPISTS—AN “INNOCUOUS” MEANS OF SEEKING HELP .............................................................................. 123 EDITOR’S COMMENTARY ANOTHER ROUTE TOWARD KNOWING THYSELF ............................................................................................................ 152 5 TREATMENT OF MARITAL AND FAMILY THERAPISTS ..................... 155 EDITOR’S COMMENTARY THERAPIST SELF-DISCLOSURE IN THE PRESENCE OF HIS OR HER SIGNIFICANT OTHERS ........................................... 195 6 DIVORCE MEDIATION FOR THERAPISTS AND THEIR SPOUSES ..... 198 EDITOR’S COMMENTARY MEDIATION: A NEW APPROACH TO A PAINFUL PARTING PROCESS ............................................................................ 228 7 GROUP PSYCHOTHERAPY FOR GROUP THERAPISTS ........................ 232 EDITOR’S COMMENTARY WHEN THE GROUP IS THE MEDIUM ............... 274 8 PSYCHOTHERAPY WITH WOMEN THERAPISTS .................................. 278 EDITOR’S COMMENTARY BY AND FOR FEMALE THERAPISTS ............... 312 9 LONG-TERM TELEPHONE PSYCHOTHERAPY ....................................... 315 EDITOR’S COMMENTARY THE EFFICACY OF A VERY SPECIAL PHONE CONNECTION ..................................................................................................... 348 CONTRIBUTORS John E. Churchill, M.S.W., is Chief of the Hypnotherapy (Outpatient) Clinic, Departments of Mental Health and Social WorK, Wilford Hall USAF Medical Center, Lackland Air Force Base, Texas. Erich Coché, Ph.D., is a clinical psychologist in independent practice in Philadelphia and is a clinical associate professor at Hahnemann University, Philadelphia. He is a Diplomate in Clinical Psychology, American Board of Professional Psychology. Judith Coché, Ph.D., is a partner in Coché and Coché, a joint practice in clinical psychology. She is also clinical assistant professor, Hahnemann University, Philadelphia, Pennsylvania. Allen Fay, M.D., is in the Department of Psychiatry, Mount Sinai School of Medicine, City University of New YorK. Diane Friedman, Ph.D., is a senior clinician at Community Mental Health Organization, Inc., Englewood, New Jersey. Samuel Greenberg, M.D. is an analyst and a professor in the Department of Psychiatry, University of Florida, College of Medicine, gainesville, Florida. Florence W. Kaslow, Ph.D., is in independent practice as a therapist and consultant in West Palm Beach, Florida. She is Director of the Florida Couples Family Institute and an adjunct professor in the Department of Psychiatry at Duke University Medical School, Durham, North Carolina. Nadine J. Kaslow, Ph.D., is an assistant Professor of Psychology in Psychiatry, Yale University School of Medicine, New Haven, Connecticut. Arnold A. Lazarus, Ph.D., is a professor in the graduate School of Applied and Professional Psychology, Rutgers-The State University of New Jersey, New BrunswicK. William G. Neville, Ed.D., is co-owner and Director of general Mediation and Arbitration Service, Inc., of Atlanta, georgia. He is on the advisory boards of the Family Mediation Association and the Denver Custody Mediation Research ProJect. Kenneth M. Padach, M.D., is a resident in Psychiatry at Cedars-Sinai Medical Center, Los Angeles, California. FOREWORD Theodore Blau, Ph.D. Although pursuing therapy with therapists has always been considered an essential aspect of psychoanalytic training, relatively few therapists have had the experience of pursuing therapy with therapists. This is not to say that such does not occur. As Florence Kaslow points out in the Preface, certain therapists are sought out by other therapists during times of difficulty. It is the unusual therapist, however, who seeks therapeutic intervention for himself or herself comfortably or easily. To many therapists this constitutes "failure." As the physician abhors illness, the therapist sees unsureness, self-doubt and confusion as marks of inadequacy and even a Kind of therapist "sinfulness." Conducting psychotherapy with another therapist is perhaps the greatest challenge to any mental health professional. The usual devices often used by psychotherapists to create a comfort zone within the very intense context of psychotherapy ordinarily are ineffective (as perhaps they should be) when worKing with other therapists. Prestige, psychological distance, professional status, psychotherapeutic language and other forms of mumbo Jumbo are ludicrous in a therapist-therapist interaction. One of the cardinal responsibilities of the effective therapist is to create a sanctuary, a place of such safety and confidentiality that the unthinkable can be thought and discussed. Difficult as this may be with the multitude of patients who seeK our services, it is most difficult with the psychotherapist. This is particularly true with the psychotherapist who in some way has been unsuccessful because of his or her own emotional barriers and filters. I find no patient as distrustful as the unhappy, help-seeKing psychotherapist. All of the skill and experience of a psychotherapist is required with regularity when conducting psychotherapy with another psychotherapist. As the number of psychotherapists increase, this particular interaction is bound to increase. Conducting psychotherapy is a stressful and demanding profession, and the need