Peter Rober's 
Notes on 
The Therapist Use of Self 
in Postmodern Times 

Some authors (a.o. Baldwin & Satir, 1987; Elkaïm, 1989, 1997; Real,
1990; Haber, 1990, 1994; Andolfi & Angelo, 1988; Andolfi, Angelo & De Nichilo, 1989; Tilmans-Ostyn, 1990; Hildebrand, 1998;Rober, 1998; Tilmans-Ostyn & Rober, 1999) state that in the therapeutic conversation the therapist uses  his self to seek constructive ways to work with the family.  However, the  self is a controversial concept.  Post-modernist and social constructionist authors are very critical towards the modernist concept of self 
as a  stable, autonomous essence of a person (Hoffman, 1991; Anderson, 1997). They propose a narrative view of self as an ongoing autobiography: 
 

The self is an ever-changing expression of our narratives, a being-and-becoming through language and storytelling as we continually attempt to make sense of our world and of ourselves. 
In the family therapy literature about the use of the self of the therapist, the self 
does not refer to the modernist conception of the self, a unitary, 
permanent, true core of the person, nor to the postmodernist conception of 
the self as "a stretch of moving history, like a river or stream" (Hoffman, 
1991, p.6).  In this context, the self refers to the experiencing process 
of the therapist, in other words to his feelings, intuitions, fears, 
images, ideas, and so on. The use of the self, in this sense, means that 
the therapist utilizes "his own personal responses in the form of images, 
moods and symbols in initiating and developing the therapeutic process. 
The therapist's observations and intuitions become elements of exchange and 
a constant source of information, with the creative imagination playing a 
central role." (Andolfi & Angelo, 1988, p.244) 

This means that the therapist has to take seriously, not only his 
observations, but also what is evoked in him by these observations, i.e. 
images, moods, emotions, associations, memories, etc.  These 
aspects of the self, especially,  are often neglected by therapists (Tilmans-Ostyn, 1990; Tilmans-Ostyn & Rober, 1998)

There are a lot of possible reasons for this negligence: the things that are evoked in the therapist by his observations can be strange or bewildering, or they may, at least at first glance, not fit the theories or the expectations of the therapist, or they may be scary or shamefull for the therapist or for the family, and so on.  In these cases therapists might dismiss these aspects of the self as unimportant, 
uninteresting, irrelevant, and so on.  This is often a missed chance, because the self of the therapist, especially the aspects of the self that the therapist, at first glance, doesn't really understand or that scares him, can be a rich resource for the therapist and for the therapeutic system because they can give access to things that haven't been said yet.  As Haber (1990) states, 
 
 

The therapist's personal reactions are keys to use to enter and understand the analogic, relational, and symbolic processes within the client and therapeutic system. 
Also  Elkaïm (1989; 1997) values the personal experiences of the therapist as a therapeutic tool. Elkaïm stresses the importance of the context in which feelings arise. What members of the therapeutic system experience does not only come from that person's personal history,  it is also amplified and maintained by the context.  Elkaïm (1997) uses the concept of resonance to illuminate this process.  When there is a resonance between therapist and family on some common elements, this results in highlighting and amplifying these elements in  the conversation and in the experience of the therapist and the family.   He speaks from a systemic/cybernetic perspective when he states that the importance of the therapist's personal experience lies in its meaning and 
function for the therapeutic system: 
 
 
 in the same way that for the systemic therapist the identified person's symptom has a meaning and a function in the family system, I hold that the feelings that arise in any member of a therapeutic system have a meaning and a function with respect 
to that therapeutic system. 
 

From this perspective on the therapist's self  we can say that  it is often 
better when the therapist not only listens to the clients stories, or looks 
at the stories the clients tell in a non-verbal way, but also feels what 
happens with him as a person.  The therapist has to be in continual contact 
with his experiencing process and he has to accept his feelings, images, 
intuition as meaningfull, even if he doesn't understand the meaning of them 
(Rober, 1998).  Furthermore, he has to ask himself how his observations and 
the things that are evoked by these observations might be meaningful for 
the therapeutic conversation.  This means in particular that the therapist 
has to reflect on if and how his self can be used in a constructive way in 
his role as therapist to open space for the not-yet-said 

References

Anderson, H. (1997).  Conversation, Language an Possibilities: A Postmodern 
Approach to Therapy.  New York: Basic Books. 

Andolfi, M. & Angelo, C. (1988).  Toward constructing the therapeutic 
system. Journal of Marital and Family Therapy, 14, 237-248. 

Andolfi, M., Angelo, C. & De Nichilo M. (1989). The Myth of Atlas: Families 
& The Therapeutic Story.  New York: Brunner/Mazel. 

Aponte, H.J. (1992).  Training the Person of the Therapist in Structural 
Family Therapy.  Journal of Marital and Family Therapy, 18, 269-281. 

Baldwin, M. & Satir, V. (Eds.) (1987).  The Use Of Self in Therapy.  New 
York: Haworth Press. 

Elkaïm, M. (1989). Si tu m'aimes, ne m'aime pas [If You Love Me, Don't Love 
Me]. Parijs:  Seuil. 

Elkaïm, M. (1997). If You Love Me, Don't Love Me: Undoing reciprocal double binds and other methods of change  in couple and family therapy.  Northval (N.J.): Jason Aroson. 

Haber, R. (1990). From Handicap To Handy Capable: Training systemic 
therapists in use of self.  Family Process, 29, 375-384. 

Haber, R. (1994). Respons-ability: Therapist's 'I' and role.  Journal Of 
Family Therapy, 16, 269-284. 

Hildebrand, J. (1998).  Bridging The Gap: A training module in personal and 
professional development.London: Karnac. 

Hoffman, L. (1991). A Reflexive Stance For Family Therapy.  Journal of 
Strategic and Systemic Therapy, 10, 3&4, 4-17. 

Rober, P. (1998). Reflections on Ways to Create a Safe Therapeutic Culture for Children in Family Therapy.  Family Process, 37, 201-213. 

Real, T. (1990). The Therapeutic Use Of Self in Constructionist/Systemic 
Therapy. Family Process, 29, 255-272. 

Tilmans-Ostyn, E. (1990).  Développement de l'Utilisation du Soi de 
Thérapeute: Une Phase de Formation en Thérapie Familiale [Development of 
the use of the self of the therapist: A Phase in family therapy training]. 
Thérapie Familiale (Genève), 11, 127-138. 

Tilmans-Ostyn, E. & Rober, P. (1998). Een opleidingsmodel voor het 
therapeutisch gebruik van het zelf voor Gezinstherapeuten [A Model for the 
Training of the Use of the Self for Family Therapists]. Manuscript 
submitted for publication.

 
 
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