ABSTRACT

Psychological mindedness refers to the individual's capacity for self-observation, self-reflection and a capacity to consider psychological factors as being significant in one's problems and present situation, as well as the possibility that unconscious psychological forces impact upon our motivation. Sometimes clients presenting in private practice also have limitations to their resources, and so may not be able to afford to come for weekly therapy. Clients who appear to have little Adult ego state to the extent that functioning is seriously impaired may need referral for psychiatric evaluation and possibly medication before therapy can proceed safely. With clients with little adult ego state available, the therapist needs to determine, in consultation with their supervisor, whether they have the skills and resources to help the client develop and strengthen their adult ego state.