ABSTRACT

In this chapter, a model for accompanying a client through six life-related stages of self-developmental change through the therapeutic relationship is presented. Table 2 sketches out the paradigm in diagram form. It is intended to assist the practitioner to find a focal theme for the chosen commitment entered into with a client. Early in the therapeutic engagement, usually at the first review, this hypothesis can be fruitfully shared with the client. The ideas expressed in the model arise from observations made during work with a wide range of clients, especially those bringing to the therapeutic engagement the painful experience of an abusive childhood. Using this model helps the practitioner to make a diagnosis, not of the client, but of the area of psychological work most appropriate to explore with this client at this time.