- The helping person’s expectations can become a confusing element in the process of successful counseling. A genuine desire to assist a patient in dealing with a problem can predispose a physician-counselor to expect a great emotional response or reaction from the person receiving the help. This is not necessarily a fact. Good therapeutic counseling can take place in the absence of obvious emotional expression. An effective counselor can bring about the changes needed and the patient can interpret the process of change as being his own idea or effort. Counseling relics on the patient helping himself, so effective counseling can result from the physician-counselor helping the patient think of the solution to the problem.
A patient may respond to counseling and, as a result of the insight gained n the process, feel somewhat embarrassed at not having resolved the situation without outside help. A patient progressing toward the resolution of a problem can easily ignore the source of assistance that facilitated the progress. The need for self-respect can make the client minimize the emotional response manifested.
The physician-counselor should realize certain danger points in the usually projected role of the counselor. In most, if not all instances, it is a myth that the patient can say or do as he pleases in the counseling setting. All therapists set some limits and so exert control over, or influence the direction of, the counseling session. In some systems of counseling, the controls may be Mindful, structured and well defined prior to the start. In others, the controls limits are more subtle and evolve during the course of the counseling process. A realistic counselor knows that he sets limits on and influences the patient’s discussion or behavior. By realizing his own concepts of limits, the counselor can more reasonably project these limits to patient.
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