chapter  4
13 Pages

The person in ethical decision-making: living with our choices


Paul has been working with a client, John, for some months. Despite a productive start where both client and therapist have agreed how they might work together to achieve change, progress has stalled. After recognising feelings of frustration and impotence to affect change, Paul dutifully engaged in a process of examining possible obstacles and impediments to progress and took his concerns to supervision. Reviewing the case in supervision and discussing his ideas with colleagues, Paul developed confidence in the formulation that casts John as vulnerable, fearful of rejection and terrified of leaving the ‘known’, however painful his present circumstances are. What was clarified through consultation was the importance of avoiding reinforcing John’s fear of failure that has coloured much of his life.