tag:blogger.com,1999:blog-26666124.post919542892342259652..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: In Treatment: Season 2, Mia's Sex Life & April's Cancer TreatmentUnknownnoreply@blogger.comBlogger9125tag:blogger.com,1999:blog-26666124.post-41403274496022254902009-05-12T12:09:00.000-04:002009-05-12T12:09:00.000-04:00The new-second HBO "In Treatment" series presents ...The new-second HBO "In Treatment" series presents a variety of interesting boundaries dilemmas. Before I list the boundaries issue in the new season we need to remember that there a big difference between boundary crossing, which are appropriate, ethical and helpful) and boundary violations, which are harmful. <br />Here is the short list of the boundary crossing presented in the first four episodes:<br />- Multiple Relationships: Paul is involved in `client-initiated' sequential dual relationships with Mia.<br />- Transparency: Paul deliberately self-disclosed meaningful personal information to all four clients, Mia, Walter, Oliver, and April<br />- Leaving the office: Paul was engaged in out-of-office activities (i.e., left the office) when he accompanied April to her first chemotherapy treatment and visited Walter in the hospital after a Walter's failed suicide attempt.<br />- Serving food: Paul fed self-starving young Oliver.<br />- Touch (non-sexual): Paul appropriately touched Walter and Oliver. <br />- Cell Phones: Paul allowed-tolerated Walter and April use of cell phone during sessions.<br /><br />So far (i.e., week four of the second season) all of Paul's boundary crossings seem to be clinically-driven and ethical. For a more detailed discussion on boundaries in "In Treatment," go to http://www.zurinstitute.com/intreatment_hbo.html.<br />Ofer Zur, PH.D.<br />Director, Zur Institute<br />http://www.zurinstitute.comdrzurhttp://www.zurinstitute.comnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-84377263594819117932009-05-02T16:25:00.000-04:002009-05-02T16:25:00.000-04:00Wow, our commenters could write the post!Wow, our commenters could write the post!Dinahhttps://www.blogger.com/profile/09227988351623862689noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-23667740106544382422009-05-02T15:01:00.000-04:002009-05-02T15:01:00.000-04:00Hi Dinah,
Just stopped by to see if you were stil...Hi Dinah,<br /><br />Just stopped by to see if you were still recapping In Treatment! I never ended up watching the entire 1st season - just couldn't keep up with it after awhile. This season, I have watched all of April's episodes but only a few random ones of the other characters. I like April. I think the only boundary Paul really crosses is in becoming too personally invested here and allowing himself to be the one she relies on. It's nice that he wants to take care of her, but he won't be able to in the long term, so it almost sets her up for disappointment. He says to call any time she feels as bad as she did when lying on the bathroom floor - will he really be available to answer his phone any time she calls? Doubtful. So why even bother to say that in the first place? Why set up some unreachable expectation for her? Maybe he could have said to call and leave him a message any time she feels like that, and he'll get back to her as soon as he can. (Which in real life may be on business hours Monday to Friday. That's a reasonable boundary, isn't it?) That's probably a bit more realistic. The girl has nobody else to lean on right now - but can Paul really provide her what she needs? Someone who will truly take care of her? Not just for a half hour a week or however long the theoretical sessions run for. Because what happens to her the rest of the time?<br /><br />I guess that's why I see he has crossed some boundary. Taking her to the chemo in and of itself wasn't crossing a boundary, but he sets up multiple times in that episode the expectation that he will be there to take care of her when she needs someone. And I have a feeling that this isn't really going to be the case. It is a nice intention, but if it can't be held up sincerely, it is best not offered in the first place. Having good intentions but a lack of resources or capability to back up what you've promised or implied can be more painful than not promising or implying anything in the first place!<br /><br />Just my take on it... :)<br /><br />Take care,<br />Carrie :)NeoNurseChichttps://www.blogger.com/profile/16120931307124798416noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-16079039008356114042009-05-01T02:44:00.000-04:002009-05-01T02:44:00.000-04:00I love this show. And I hate it. And I hate loving...I love this show. And I hate it. And I hate loving it and love hating it. I am ambivalent about In Treatment. Come see why.Ryanhttp://blogs.psychologytoday.com/blog/in-therapy/200904/in-treatment-ambivalencenoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-37331017078543156332009-04-29T12:32:00.000-04:002009-04-29T12:32:00.000-04:00I liked April a lot...but there's an upcoming epis...I liked April a lot...but there's an upcoming episode where I was really rooting for her to sue him!Sarahttps://www.blogger.com/profile/15606922510495018342noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-85135656411124129802009-04-29T01:37:00.000-04:002009-04-29T01:37:00.000-04:00Seriously? He's got no interest in her, just to gu...Seriously? He's got no interest in her, just to guilty to abandon her again. She's right that she's not pleasant to be around but she could start with not invading his affairs. <br /><br />She's also right that drummers and guitarists are two completley different animals if I may sterotype.<br /><br />As for April I do enjoy those sessions, they seem very real and unforced as can be expected. Seems likable enough to me. Glad he took her because it didn't look like getting the family involved, scolding, reasoning. empathy or yelling was getting through to her.siennanoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-58266563220456817992009-04-27T19:34:00.000-04:002009-04-27T19:34:00.000-04:00Yes, I agree that Paul taking April to the hospita...Yes, I agree that Paul taking April to the hospital for treatment was the right thing to do this time. She is going to die unless she gets treatment. Having said this, Paul's challenge will to get her to find someone else to be there for her. It's not a role he should continue. I'm assuming April is over 18 - so Paul cannot call her parents - right?<br /><br />I'm not liking April as a peson. I don't find myself rooting for her as I did Sophie. April has rough edges and pushes everyone away.<br /><br />Mia, on the other hand, is crazy but likeable. I did notice how he left the kitchen door ajar last week --- looming foreshadowing.<br /><br />I think Paul can treat Mia. Their past is a clinical history, not a personal one. She is no longer his attorney. She breached the boundaries by opening up Laura's deposition. As long as Paul can keep the therapeutic frame (which is not his strongest attribute as a therapist) he should continue to treat Mia.<br /><br />IzzyAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-559089917267886912009-04-27T11:58:00.000-04:002009-04-27T11:58:00.000-04:00Why is Paul treating Mia at all? It seems that bet...Why is Paul treating Mia at all? It seems that between the history of their relationship and the work/boundaries issue with his legal case, this case should be a 'refer on'. <br /><br />As for April, I don't think he has crossed any boundaries by taking her for care. He is being compassionate.Penelopehttps://www.blogger.com/profile/11092060348938570183noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-33226381581083685242009-04-27T01:02:00.000-04:002009-04-27T01:02:00.000-04:00I haven't started watching season II yet - I have ...I haven't started watching season II yet - I have my own therapy issues to work out before I start on In Treatment's therapy issues... but in regards to the "boundary issues" that Tivo refers to, I don't think that there's anything in the summary of April's episode that alludes to boundary crossings (at least based on how I'm interpreting your summary)... I'll check back next week, when I've caught up! <br /><br />On the other hand, Paul seems unable to put his foot down with Mia and gain control - which in itself is somewhat of a boundary violation, no? <br /><br />And yes, Dinah, I would agree with you that her behavior does reflect something of a manic episode - it was the first thing I thought of when I read that paragraph.<br /><br />I know you're not a psychologist, but don't all psychologists get training on the DSM, regardless of their theoretical perspective? So in theory, Paul should be able to recognize her (potential) mania, and refer to a psychiatrist/GP for psycho-pharmaceutical intervention, in addition to whatever psychodynamic approach he wishes to take.Rachhttps://www.blogger.com/profile/11897760883997811787noreply@blogger.com