Читать книгу Schema Therapy for Borderline Personality Disorder - Hannie van Genderen - Страница 37

Nora stated more and more often that she experienced my questions during sessions about something that had taken place as punishing. She thought that what I really wanted to say was that she had made a mistake and that the resulting consequences were her own fault. She was in the punitive parent mode. It was only when she later listened to the recording while in a young child mode or a healthy adult mode that she was able to actually hear my tone and realized that I was simply interested in how things were going and was not judging her.

Finally, it is important that agreements are made regarding the therapist's availability. The patient needs clear guidelines as to when she can (and cannot) contact the therapist outside of sessions. Often, email is a good option for both to maintain a connection outside therapy sessions, but therapists need to make clear how often they approximately read emails and how fast (and how often) they approximately will respond. The patient needs to know what courses of action to take when a crisis is approaching and to whom she can turn when the therapist is unavailable (see Chapter 4, “‘Limited Reparenting”). Normally there is another member of the peer supervision group who is involved in the therapy from the side lines. He can temporarily replace the therapist if needed, for example, in case of holidays or illness.