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Therapists in a Fishbowl

The Challenges of Small-Town Practice

July/August 2019
Some down-to-earth advice on practicing in a small town, where there’s no way to escape being seen and talked about.
Bonus - Read the entire article FREE!

In Consultation

Doorknob Moments

September/October 2018
How to handle end-of-session bombshells therapeutically—and still wrap up on time.

Translating Coaching Into Therapy

The Benefits and the Boundaries

July/August 2018
Clinicians interested in applying coaching skills in psychotherapy believe that working more from a collaborative partnership position—like a personal trainer or a mentor—can produce faster change and, for many clients, enhanced motivation.

Challenging The Narcissist

How to Find Pathways to Empathy

July/August 2013
Given their arrogance, condescension, and lack of empathy, narcissists are notoriously difficult clients. The key to working with them is being direct and transparent about the roiling emotions they trigger in us.

Yesterday’s Ethics Vs. Today’s Realities

Boundaries in an Age of Informality

July/August 2012
As the status of therapist has shifted from an oversized figure with Svengali-like powers to an overworked and underpaid service provider at the mercy of the client-consumer who might sue him or her for some infraction, what are we to make of our traditional ethical codes.
Bonus - Read the entire article FREE!

Therapist Self-Disclosure

Think Before You Get Personal

July/August 2012
The ways we disclose, read cues from our clients, and dialogue about what’s been divulged are the keys to whether therapist self-disclosure helps clients’ therapeutic goals or gets in the way.

Clinician's Digest

July/August 2010
- Is therapist privacy a thing of the past? - Creating networks of therapists - A cautionary tale about self-help books - The new DSM's take on personality disorders - The brain-scan wars

Clinician's Digest

July/August 2009
Cosmetic Neurology * Another look at APA's stance on torture * The effects of internet porn * In praise of older meds * Sexual attraction in couples therapy

Love, Dr. Lagerfeld

Sometimes It's Okay to Trust Your Instincts

March/April 2002
We therapists tend to worry a lot about boundaries, sometimes to the point that we forget that sharing our humanity can be a gift, not a distortion.

A Triple Boundary Crossing

From Client to Friend to Client

March/April 2002
The blanket disapproval of "dual relationships" in some circles draws no distinction between "boundary violations," which can harm a client, and "boundary crossings," which produce no harm and may even enhance the therapeutic connection.
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