Influences of the Survivor-Therapist Identity

  • Alexandra L. Adame
  • Matthew Morsey
  • Ronald Bassman
  • Kristina Yates


This chapter opens with a brief review of the literature regarding mental health professionals who also have experience on the receiving end of psychological and psychiatric services. The unique insights affording by being both an expert by training and an expert by experience are then explored in essays written by each of the coauthors. Throughout each of the authors’ accounts, they explain how they regard their lived experiences as a source of wisdom and a relational bridge to empathize with the struggles of others. Finally, as several of the coauthors have experienced involuntary treatment, the theme of trust and the central role of the therapeutic relationship come up as important themes in the practice of therapy.


  1. Ackerman, P. T., Newton, J. E. O., McPherson, W. B., Jones, J. B., & Dykman, R. A. (1998). Prevalence of posttraumatic stress disorder and other psychiatric diagnoses in three groups of abused children. Child Abuse and Neglect, 22(8), 759–774.CrossRefPubMedGoogle Scholar
  2. Adame, A. L., & Hornstein, G. A. (2006). Representing madness: How are subjective experiences of emotional distress presented in first-person accounts? The Humanistic Psychologist, 34, 135–158.CrossRefGoogle Scholar
  3. Bassman, R. (1997). The mental health system: Experiences from both sides of the locked doors. Professional Psychology: Research and Practice, 28, 328–242.Google Scholar
  4. Bassman, R. (2000). Agents, not objects: Our fight to be. Journal of Clinical Psychology, 56(11), 1395–1411.CrossRefPubMedGoogle Scholar
  5. Berry, C., Hayward, M. I., & Chandler, R. (2011). Another rather than other: Experiences of peer support specialist workers and their managers working in mental health services. Journal of Public Mental Health, 10(4), 238–249.CrossRefGoogle Scholar
  6. Bornstein, P. (1986). Re-evaluation counseling: A self-help model for recovery from emotional distress. Women & Therapy, 5, 41–54.CrossRefGoogle Scholar
  7. Boyd, J. E., Graunke, B., Frese, F. J., Jones, J. T. R., Adkins, J. W., & Bassman, R. (2016). State psychology licensure questions about mental illness and compliance with the Americans with disabilities act. American Journal of Orthopsychiatry, 86(6), 620–631.CrossRefPubMedGoogle Scholar
  8. Boyd, J. E., Zeiss, A., Reddy, S., & Skinner, S. (2016). Accomplishments of 77 VA mental health professionals with a lived experience of mental illness. American Journal of Orthopsychiatry, 86(6), 610–619.Google Scholar
  9. Buber, M. (1958). I and thou. New York: Scribner.Google Scholar
  10. Buber, M. (1988). The knowledge of man: Selected essays. Atlantic Highlands, NJ: Humanities Press International.Google Scholar
  11. Cahill, J., Paley, G., & Hardy, G. (2013). What do patients find helpful in psychotherapy? Implications for the therapeutic relationship in mental health nursing. Journal of Psychiatric and Mental Health Nursing, 20, 782–791.PubMedGoogle Scholar
  12. Campbell, J. (1997). How consumer/survivors are evaluating the quality of psychiatric care. Evaluation Review, 21(3), 357–363.CrossRefPubMedGoogle Scholar
  13. Carey, B. (2011, June 23). Expert on mental illness reveals her own fight. The New York Times. Retrieved from
  14. Chang, D. F., & Berk, A. (2009). Making cross-racial therapy work: A phenomenological study of clients’ experiences of cross-racial therapy. Journal of Counseling Psychology, 56(4), 521–536.CrossRefPubMedPubMedCentralGoogle Scholar
  15. Constantine, M. G. (2007). Racial microaggressions against African American clients in cross-racial counseling relationships. Journal of Counseling Psychology, 54(1), 1–16.CrossRefGoogle Scholar
  16. Cushman, P. (1990). Why the self is empty: Toward a historically situated psychology. American Psychologist, 45, 599–611.CrossRefPubMedGoogle Scholar
  17. Deegan, P. E. (1988). Recovery: The lived experience of rehabilitation. Psychosocial Rehabilitation Journal, 11(4), 11–19.CrossRefGoogle Scholar
  18. Deegan, P. E. (1996). Recovery as a journey of the heart. Psychiatric Rehabilitation Journal, 19, 91–97.CrossRefGoogle Scholar
  19. Deegan, P. E. (2001). Recovery as a self-directed process of healing and transformation. Occupational Therapy in Mental Health, 17, 5–21.CrossRefGoogle Scholar
  20. Evans, F. B. (1996). Harry Stack Sullivan: Interpersonal theory and psychotherapy. New York: Routledge.Google Scholar
  21. Fisher, D. B. (1994). A new vision of healing as constructed by people with psychiatric disabilities working as mental health professionals. Psychiatric Rehabilitation Journal, 17(3), 67–81.CrossRefGoogle Scholar
  22. Frese, F. J., III. (2000). Psychology practitioners and schizophrenia: A view from both sides. Journal of Clinical Psychology/In Session: Psychotherapy in Practice, 56, 1413–1426.CrossRefGoogle Scholar
  23. Frese, F. J., III. (2009). Coming out of the shadows. Health Affairs, 28, 880–886.CrossRefPubMedGoogle Scholar
  24. Friedman, E. M., Karlamangla, A., Gruenewald, T. L., Koretz, B., & Seeman, T. E. (2015). Early life adversity and adult biological risk profiles. Psychosomatic Medicine, 77(2), 176–185.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Goldberg, M., Hadas-Lidor, N., & Karnieli-Miller, O. (2014). From patient to therapatient: Social work students coping with mental illness. Qualitative Health Research, 25(7), 887–898.CrossRefPubMedGoogle Scholar
  26. Henderson, A. R. (2010). A substantive theory of recovery from the effects of severe persistent mental illness. International Journal of Social Psychiatry, 57(6), 564–573.CrossRefPubMedGoogle Scholar
  27. Ivey, G., & Partington, T. (2014). Psychological woundedness and its evaluation in applications for clinical psychology training. Clinical Psychology and Psychotherapy, 21, 166–177.CrossRefPubMedGoogle Scholar
  28. Jamison, K. R. (1995). An unquiet mind: A memoir of moods and madness. New York: Vintage.Google Scholar
  29. Karon, B. P., & Vandenbos, G. R. (1994). Psychotherapy of schizophrenia: The treatment of choice. Northvale, NJ: Jason Aronson Inc.Google Scholar
  30. Kauffman, K., & New, C. (2004). Co-counseling: The theory and practice of re-evaluation counseling. New York: Brunner-Routledge.Google Scholar
  31. Kern, E. O. (2014). The pathologized counselor: Effectively integrating vulnerability and professional identity. Journal of Creativity in Mental Health, 9, 304–316.CrossRefGoogle Scholar
  32. Lindow, V., & Rooke-Matthews, S. (1998). The experiences of mental health service users as mental health professionals. Findings, 485–488.Google Scholar
  33. Moran, G. S., Russinova, Z., Gidugu, V., & Gagne, C. (2013). Challenges experienced by paid peer providers in mental health recovery: A qualitative study. Community Mental Health Journal, 49, 281–291.CrossRefPubMedGoogle Scholar
  34. Nelson, G., Ochocka, J., Griffin, K., & Lord, J. (1998). “Nothing about me without me”: Participatory action research with self-help/mutual aid organizations for psychiatric consumer/survivors. American Journal of Community Psychology, 26, 881–912.CrossRefPubMedGoogle Scholar
  35. North, C. (1987). Welcome silence: My triumph over schizophrenia. New York: Simon & Schuster.Google Scholar
  36. Nuttall, J. (2002). Modes of therapeutic relationship in brief dynamic psychotherapy. Psychodynamic Practice, 8(4), 505–523.CrossRefGoogle Scholar
  37. Olofsson, B., & Jacobsson, L. (2001). A plea for respect: Involuntary hospitalized psychiatric patients’ narratives about being subjected to coercion. Journal of Psychiatric and Mental Health Nursing, 8, 357–366.CrossRefPubMedGoogle Scholar
  38. Owen, J. J., Tao, K., Leach, M. M., & Rodolfa, E. (2011). Clients’ perceptions of their psychotherapists’ multicultural orientation. Psychotherapy, 48(3), 274–282.CrossRefPubMedGoogle Scholar
  39. Parsons, T. (1951). The social system. Glencoe, IL: Free Press.Google Scholar
  40. Rogers, A. G. (1995). A shining affliction: A story of harm and healing in psychotherapy. New York: Penguin Books.Google Scholar
  41. Rogers, C. R. (1961). On becoming a person: A therapist’s view of psychotherapy. Boston: Houghton Mifflin Company.Google Scholar
  42. Sawyer, A. (2011). Let’s talk: A narrative of mental illness, recovery, and the psychotherapist’s personal treatment. Journal of Clinical Psychology: In Session, 67(8), 776–788.CrossRefPubMedGoogle Scholar
  43. Schroeder, K. R., Pomerantz, A. M., Brown, D. L., & Segrist, D. (2015). Psychologists’ responses to the disclosure of personal therapy by a professional colleague. Counseling and Psychotherapy Research, 15, 50–57.Google Scholar
  44. Swartz, M. S., Swanson, J. W., & Hannon, M. J. (2003). Does fear of coercion keep people away from mental health treatment? Evidence from a survey of persons with schizophrenia and mental health professionals. Behavioral Sciences and the Law, 21, 459–472.CrossRefPubMedGoogle Scholar
  45. Sweeney, J., & Creaner, M. (2014). What’s not being said? Recollections of nondisclosure in clinical supervision while in training. British Journal of Guidance & Counselling, 42, 211–224.CrossRefGoogle Scholar
  46. Toikko, T. (2016). Becoming an expert by experience: An analysis of service users’ learning process. Social Work in Mental Health, 14(3), 292–312.CrossRefGoogle Scholar
  47. Turkle, S. (2011). Alone together: Why we expect more from technology and less from each other. New York: Basic Books.Google Scholar
  48. Turkle, S. (2012, April 21). The flight from conversation. The New York Times. Retrieved from
  49. Wampold, B. E., & Budge, S. L. (2012). The 2011 Leona Tyler award address: The relationship—And its relationship to the common and specific factors of psychotherapy. The Counseling Psychologist, 40, 601–623.CrossRefGoogle Scholar
  50. Wampold, B. E., Mondin, G. W., Moody, M., Stich, B., & Ahn, H. (1997). A meta-analysis of outcome studies comparing bona fide psychotherapies: Empirically, “all must have prizes”. Psychological Bulletin, 122(3), 203–215.CrossRefGoogle Scholar
  51. Zerubavel, N., & Adame, A. L. (2014). Fostering dialogue in psychology: The costs of dogma and theoretical preciousness. Qualitative Research in Psychology, 11, 178–188.CrossRefGoogle Scholar
  52. Zerubavel, N., & Wright, M. O. (2012). The dilemma of the wounded healer. Psychotherapy: Theory, Research, Practice, Training, 49(4), 482–491.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2017

Authors and Affiliations

  • Alexandra L. Adame
    • 1
  • Matthew Morsey
    • 2
  • Ronald Bassman
    • 3
  • Kristina Yates
    • 4
  1. 1.Seattle UniversitySeattleUSA
  2. 2.Private PracticeSan FranciscoUSA
  3. 3.Private PracticeBoulderUSA
  4. 4.RetiredOaklandUSA

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