Disability and the Practice of Psychotherapy

Abstract

This chapter explores the therapist’s task of managing the therapeutic relationship. The opening vignette draws attention to issues relating to the initial contact and assessment, and examines aspects of this that have particular relevance for disabled people. Respect by the therapist for the client is a necessary precondition for the formation of a positive relationship and enhancement of the client’s autonomy. The vignettes illustrate the complexity of working with a client whose physical dependency necessitates a high level of care and medical intervention. The role of the therapist as the client’s ally will be compared and contrasted with that of other carers and health professionals.