Monday, September 21, 2009


I had a super intense session with someone today. We had a really intense one last week too. I don't know if the client finds things as intense as I do, but I feel like we're really hitting the root of some incredibly deep pain.

I've been thinking about how to assess the effectiveness of what I do. For our job developers it's a lot easier. Either people get jobs, or they don't. Plain and simple. They can count the number of people they help find employment each month. It's A LOT harder for the counsellors. I mean, I can count the time I spend in sessions with people, and in fact, I'm required to. But how do I judge whether what I do has a positive affect on people?

One thing that helps is when clients volunteer that feedback, but it doesn't always happen. For example, I wonder if I'm actually helping the client I saw today. They're dealing with some very intense stuff, and I have no idea whether our work together is helping, but there doesn't seem to be an appropriate way to ask... Counselling is a very abstract thing to measure.

In other thoughts, I wonder if an empty chair exercise would be helpful or hurtful to someone with schizophrenia. I mean, of course it depends on the person, but in general... There's a client I think it would really benifit, but I don't want to play into anything they may have going on for them... I need to do some research on Gestalt Therapy and Psychotic Disorders...

1 comment:

Highway said...

I am a gestalt therapist - and I completely agree with you - that we need to go slow with our techniques. I think the main thing is to connect with a person from where they are at. So design experiments graded to their ability and not go too far from where they are at....i find its easier that way as well. A lot of our work is about putting on the breaks and just being with the experience.
best wishes