How have you Managed to Cope so Well?

Abstract

Traditional models of psychotherapy are hierarchical and expert oriented. Expertise and competence are assigned to the professional. The implications of assigning competence to the professional means that the professional takes charge of the therapeutic process and assumes responsibility for the client and his problem. As such, the client adopts a position of incompetence and passivity. Likewise, the client assigns responsibility for the resolution of his problem to the professional. This position of the therapist arises from the traditionally held view of the client and the professional that is deeply embedded in the western modern culture and typified in the medical model. The medical model as such has been found to be both valuable and appropriate. If a bone is fractured, the client wants it to be fixed by a competent professional skilled in orthopaedics. Roles are clear and defined. The underlying assumption is that if the client places himself in the hands of the professional, his pain can be ended. Out of this rigidity of thought emanates a whole protocol of professional practice which has had a powerful influence on traditional psychotherapeutic training and practice.