By Arnold Isenberg
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Extra resources for Analytical Philosophy and the Study of Art
5. This quoted section is taken from Kellogg (2004) and is used with permission. Chapter 2 External Dialogues Grief, Loss, and Unfinished Business Patients enter therapy with a wide range of problems. The work may need to focus on the past (which may involve trauma and loss), the present (which may involve depression and anxiety), or the future (which may involve existential choice and life creation) (Dayton, 2005), and the encounters and enactments may be primarily internal, external, or both (Kellogg, 2004).
Patient: She was completely dominated by him. Therapist: Speak to him about it. Patient: Then there would be the times that something would go wrong, and you would stop talking; that used to get Mom so upset. She really couldn’t stand it. You would go in your room and refuse to come out. You would go on for days giving her and us the silent treatment. She felt so desperate because she didn’t have any money and there were all these small kids. She would come and ask us to go apologize to you, even if we hadn’t done anything wrong.
Whenever a patient engages in a role-reversal and gives voice to the perspectives of another, there is a chance that they will experience an increase in empathy for that person. While this can be a boon, it can also be a problem. Since we want the patient to have the freedom to tell the story of what happened to them and to express their outrage and pain, empathy can actually interfere with this process. Given this, I do not invite patients to speak from the perspective of the abuser and I advise therapists to refrain from doing so.