How important is the "fit" between client and therapist?
I believe that both the "fit" and the fitness of the therapist are crucially
important. No matter how well-structured the therapy technique, a therapist
with an attitude can cause damage with it. And destructive boundary
violations can occur within any form of therapy. Perhaps one advantage of DBT
would be that in a team approach, it might be more difficult for a therapist
to act out without being challenged.
I believe that there is more than one treatment approach that can lead to
cure. A respectful, well-balanced, and well-trained therapist practicing any
of a variety of established techniques can offer effective help to a client
with whom a working alliance has been established. The relationship between
patient and therapist and how to assess it is discussed in more detail in
Chapter 12 (Being in Treatment) of Lost in the Mirror.
© Dr. Richard Moskovitz
The Problem of Intimacy