ABSTRACT

Jane first consulted me fifteen years ago. She sought my care on the advice of a human resources (HR) consultant, because she had appeared overcome by tears during a training event that had concentrated upon family and loss. Frequently, when it is suggested to an individual that he or she seeks counselling or psychotherapy, the person actually presents with some level of either conscious reluctance or unconscious resistance. However, it was apparent from the outset of our relationship that Jane felt that she had been prompted to come to therapy at just the right time in her life, and that, in consequence, she was determined to enter into the process of therapy fully. She has always been very motivated to work within a psychodynamic model, and I can testify to her psychological mindedness. In fact, she seemed to be aware soon after the first assessment session that the root of her difficulties lay in her relationships within the family, though she actually named her presenting problem as a pervasive sense of anxiety.