4/10/2008

More about manipulation in therapy…

[Updated April 11 with a translation to Swedish of the first quotation] I have been tipped long ago about the book ”Gaslighting: The Double Whammy, Interrogation and Other Methods of Covert Control in Psychotherapy & Analysis” by Theo L. Dorpat. It stands about it:

“In treatment, the psychotherapist is in a position of power. Often, this power is unintentionally abused. While trying to embody a compassionate concern for patients, therapists use accepted techniques that can inadvertently lead to control, indoctrination, and therapeutic failure. Contrary to the stated tradition and values of psychotherapy, they subtly coerce patients rather than respect and genuinely help them.

The more gross kinds of patient abuse, deliberate ones such as sexual and financial exploitation, are expressly forbidden by professional organizations [but they occur nevertheless]. However, there are no regulations discouraging the more covert [hemliga, dolda] forms of manipulation, which are not even considered exploitative by many clinicians. In this book, noted psychiatrist Theo. L. Dorpat strongly disagrees [with that they aren't exploitative, which he thinks they are?]. Using a contemporary interactional perspective, Dorpat demonstrates the destructive potential of manipulation and indoctrination in treatment.

Also see Dorpat's new book “Wounded Monster – Hitler’s Path from Trauma to Malevolence” which sounds interesting:

”Few authors who have written about Hitler have understood the deeply damaging effects of psychic trauma on his private life and the way he functioned in the public sphere. Nearly all major biographers have neglected the importance of Hitler's childhood trauma and his later combat trauma during World War I. In Wounded Monster, Dorpat demonstrates how extreme emotional and physical abuse from his father, and his unusually long combat service during the Great War became the most formative influences of his life, resulting in severe, life-long, psychiatric disorders, including Borderline Personality Disorder and Posttraumatic Stress Disorder. It is the first book to apply contemporary trauma theory to explain Hitler's malevolence [elakhet, illvilja].

This psychiatric biography of Hitler is the only work to discuss the central importance of his vulnerability to shame emotions, as well as the trauma-induced construction of an extensive repertoire of mainly unconscious mechanisms (including fight and flight) for the avoidance of feelings of shame.”

See earlier postings on Adolf Hitler, Jonathan Pincus on Hitler and Hatred, earlier posting on "Hat..." (the first part in Swedish, the second in English), a posting about bigotry, all postings on therapy abuse so far.



From bike ride this morning (see my on line photo album).
Addition April 11: See the site "Verbal and Emotional Abuse in Therapy." Translation of the first quotation above:

I behandling är psykoterapeuten i en maktposition. Ofta missbrukas denna oavsiktligt. Medan terapeuter försöker förkroppsliga ett medkännande bekymmer för patienter [vara medkännande), använder de accepterade tekniker som oavsiktligt keder till kontroll, indoktrinering och terapeutiskt misslyckande [bristfällig terapi]. Tvärtemot den tradition och de värderingar som uppges eller läggs fram i psykoterapi, tvingar de [dock] patienter subtilt snarare än att respektera och genuint hjälpa dem.

De grövre överlagda, avsiktliga formerna av missbruk av patienter, som sexuellt och finansiellt utnyttjande, är uttryckligen förbjudna av yrkesorganisationer/fackorganisationer [men de förekommer ändå och kanske oftare än vi tror?]. Men det finns dock ingen reglering som avskräcker/hindrar de mer dolda, hemliga formerna av manipulation, vilka inte ens ses som utnyttjande eller exploatering av många kliniker [kliniskt praktiserande]. I sin bok är Theo L. Dorpat starkt oense med detta [med att de inte är utnyttjande, exploaterande, vilket han tycker att de är?]. Genom att använda samtidiga växelverkande perspektiv, visar Dorpat den destruktiva potentialen i manipulation och indoktrinering i [mången] behandling.”

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