Being a Psychotherapist
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Abstract
There is a growing understanding that the therapist self enters the therapy process in
newlinemany ways. A mixed methods study, with a qualitative dominant design, was
newlineconceptualized to understand how therapists beliefs and values impact therapy practice.
newlineData was collected from 16 practicing psychotherapists using a questionnaire and an indepth
newlineinterview. Data threw light on therapist motivations for training to be a therapist,
newlinefactors in choice of theoretical orientation, training, supervision and practice
newlinecharacteristics. Therapists believed personal qualities, interpersonal qualities and
newlinecognitive competencies facilitated therapeutic work. Expressing empathy and warmth,
newlinebeing present, attuned, available and steady and providing holding and containment
newlinecontributed to the therapeutic alliance. Client related beliefs, such as human nature is
newlinegood, environment plays a role and free will trumps the preordained were central.
newlineRecognizing personal limitations and acknowledging they were only facilitators in the
newlineprocess helped them stay focused on their therapeutic role. Believing therapist knowledge
newlineand skills were necessary, led them to seek personal therapy and supervision. Therapists
newlinereligious/spiritual beliefs were interwoven with the theoretical orientation; permeated
newlinetherapeutic techniques, helped make meaning of the therapeutic role, and facilitated
newlinepersonal growth. Acceptance, honesty, compassion, freedom, autonomy and
newlineempowerment, excellence, equality, respect, humility and openness to experience were
newlinevalues that guided therapeutic practice. Narratives indicated how cultural factors shaped
newlinetherapist world-views, thereby impacting psychotherapeutic practice. A grounded theory
newlinemodel that outlined transformational processes that linked the therapist self with
newlinetherapeutic practice was developed. The study has implications for psychotherapy
newlinetraining, practice, supervision and research.
newlineKeywords: psychotherapy research, therapist factors, beliefs and values, therapist
newlineworld-views, motivating factors.
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