LEARNING TO BE SPECIFIC AND DETAILED
One of my supervisors once told me, “Never ASSUME you know what the client means. Ask and analyze.”
As I was presenting the details of a case to another supervisor, he often would ask me to stop my presentation and to talk about the meaning to me of a client’s comment. He asked me to freely associate to the comment. From those intense, lengthy explorations, I learned about the riches contained in every comment… if we teach ourselves to think deeply about each one. Every comment represents a depth of understanding of our client and our own reactions, all of which can help us to help the client.
I once attended a staffing led by Karl Menninger. He stopped the presenter after each fact or sentence and invited the group of us therapists to bring out all the meanings we could think of for each fact or detail.
Another influence upon me was the writings of the famous analyst Theodore Reik, who wrote long involved treatises exploring his thoughts, which had been stimulated by a client’s single gesture or comment.
The Solution Focused therapist, Insoo Berg, developed detailed future scenarios with her clients. Carl Rogers reflected specific emotions, working to be accurate and empathic.
All of these supervisors and masters had a common message to understand the client, to achieve specific, detailed knowledge of the meaning of the client’s words and ideas, and to communicate with the client in specific language.
So, we see that everything the client does communicates all of herself or himself. Psychotherapy works best when the client experiences the therapist’s empathy and understanding, which in turn requires a depth of understanding. We need a specificity of knowledge about the client and clear thinking about what each client uniquely presents. Therefore, to repeat, never assume you know what the client means: ask, ask, and ask.