Therapy Today
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Kate Cunnion (counsellor,<br />
supervisor and trainer)<br />
On first reading this dilemma,<br />
I was left with a sense of<br />
confusion and lack of clarity.<br />
Although I was aware of<br />
hearing within myself a very<br />
definite negative response<br />
to the counsellor/coach’s<br />
proposed action, I also knew<br />
that it would be important<br />
for me, or any supervisor,<br />
to explore and tease out<br />
certain aspects of this<br />
situation before coming to<br />
a conclusion and being able<br />
to make an explicit response<br />
with any confidence.<br />
I would like to think that<br />
in any new supervisory<br />
relationship where the<br />
parties involved are from<br />
different training modalities,<br />
time and effort would be<br />
given to addressing the sort<br />
of circumstances described,<br />
so that reference can be made<br />
to such contractual points,<br />
if required. Such would be<br />
the case now with Estelle<br />
and Lucy.<br />
An important circumstance<br />
to bear in mind is that<br />
Lucy was trained first as a<br />
counsellor before undertaking<br />
this, as yet incomplete,<br />
training as a coach. From<br />
that counselling perspective,<br />
it is regarded as unethical to<br />
counsel a close relative of an<br />
existing client. Again from the<br />
counselling angle, whilst Lucy<br />
was counselling Martin, to<br />
what degree was she aware<br />
of the ‘presence’ of his brother<br />
within the room? How much<br />
was she aware of the effects<br />
on either herself or Martin<br />
of triangular relationships?<br />
Another point which is not<br />
too clear in the described<br />
dilemma, but known to<br />
counsellors (and possibly<br />
to coaches) is that anyone<br />
wanting to be counselled,<br />
such as Alex, must make that<br />
first appointment him/herself.<br />
It’s worth Lucy reflecting on<br />
just why she would expect it<br />
to be acceptable for her to<br />
take the word of her client<br />
that his brother wanted an<br />
appointment.<br />
In my opinion what we<br />
know so far does not give us<br />
much to endorse Lucy’s plan<br />
to work with Alex. To be fair<br />
to her, I would suggest taking<br />
the focus now to the coaching<br />
perspective on this dilemma,<br />
for, like Estelle, I know<br />
little enough of what it is<br />
comprised. A proposal I<br />
would put to Estelle would<br />
be that she ask, even require,<br />
Lucy to make as strong and<br />
convincing a case as she can<br />
as to why she should work<br />
with Alex, especially in the<br />
light of the above arguments<br />
against it.<br />
Now I move to the word<br />
‘caution’ as used in the<br />
description of the dilemma.<br />
I can almost see Estelle’s<br />
wagging finger, hear the<br />
critical tone in her voice.<br />
In relation to that, there<br />
goes Lucy, in my mind’s<br />
eye, skipping off to do her<br />
own thing, regardless of her<br />
supervisor’s injunction. Am<br />
I alone in thinking that this<br />
relationship has gone askew?<br />
Perhaps I have<br />
misconstrued the whole<br />
thing. Putting myself in<br />
Estelle’s place, I would<br />
be assertive, own my own<br />
authority and set up a review<br />
of my working alliance and<br />
arrangements with Lucy in<br />
order to ascertain just how<br />
healthy our relationship is.<br />
In the meantime, I would<br />
also suggest that Estelle make<br />
an appointment with her<br />
own consultant supervisor<br />
in order to look at these<br />
developments in some<br />
personal depth. As for Lucy,<br />
at least some reflection,<br />
maybe a piece of writing,<br />
on what is going on for her<br />
as she participates in this<br />
coaching course vis-à-vis the<br />
learning on the subject of its<br />
relationship with counselling.<br />
What of this might be<br />
contributing to a blurring<br />
of the boundaries between<br />
them? My recommendation<br />
to Lucy would be for her not<br />
to work with Alex, at least<br />
until her counselling with<br />
Martin has been finished<br />
for some time, and with the<br />
approval of her supervisor.<br />
December’s dilemma<br />
You are employed as a<br />
counsellor by an employee<br />
assistance programme<br />
(EAP) for a large haulage<br />
company. The EAP funds<br />
six sessions of counselling,<br />
following an initial<br />
assessment. Your client,<br />
John, is an HGV driver for<br />
the company and you have<br />
seen him for four sessions.<br />
He discloses in the fifth<br />
session that he is drinking<br />
heavily – up to a bottle of<br />
vodka in the evening – and<br />
having an occasional drink<br />
at work. John says that he<br />
is ‘sorting this out’ by seeing<br />
you and asks you to keep<br />
the information confidential<br />
for the time being so that<br />
he doesn’t risk losing his<br />
job. You believe John is<br />
making progress and view<br />
his disclosure as an<br />
important statement of<br />
trust, but remain unsure<br />
about what to do.<br />
Please keep your<br />
responses to 500 words or<br />
less. It is important that you<br />
outline your response to the<br />
dilemma, and make your<br />
thinking as transparent as<br />
possible. A small selection of<br />
answers will be published in<br />
December’s <strong>Therapy</strong> <strong>Today</strong>,<br />
with others appearing online<br />
(see www.therapytoday.net).<br />
Email your response to<br />
andrew.reeves@bacp.co.uk<br />
before 29 November.<br />
November 2010/www.therapytoday.net/<strong>Therapy</strong> <strong>Today</strong> 33