ABSTRACT

Contracting can pave the way for what is to come in therapy, and the changes the client is likely to experience along the way. From an ethical perspective we have a responsibility to facilitate our clients making as informed a choice as possible about whether to enter therapy or not. Part of this negotiation and preparation needs to include reference to the turbulence that may occur as part of the change process. It is doubtful we can ever totally prepare clients for the reality of the disruption, both internally and interpersonally, that can occur throughout the therapy process. It is, however, possible to forewarn our clients of the turbulent, and sometimes con¯ictual nature of change. I suggest that such warning is both ethical and also provides a foundation for dealing with such issues as and when they arise. In my experience, contracting for this at the outset provides a clear frame for dealing with problems as they arise. The contract provides a guide for what to do when the client is experiencing intense transference or con¯ict with their therapist and is something the client will hold in mind when they are uncomfortable about aspects of the therapy. This preparatory work is often remembered by clients at dif®cult times and can prevent premature termination by a client who simply got upset and didn't realize that con¯ict was not only to be expected, but a potential source of healing.