Everytime we say Goodbye: Forced Termination Revisited, a Commentary

Siebold, Cathy

doi:10.1007/s10615-007-0079-3

Cited by 12 publications

(9 citation statements)

References 13 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In my experience, sometimes the patient does not even consciously remember the secret. Furthermore, the literature suggests that after natural terminations, patients who have internalized the experience with their therapists continue to reflect, develop insight and in other ways benefit from the experience (Siebold 2007). It may be because the therapeutic alliance was good that a patient, who didn't reveal the secret in an earlier therapy, seeks further treatment when he or she is ready to share, or to know, a shameful secret.…”

mentioning

confidence: 99%

Shame, the Affective Side of Secrets: Commentary on Barth’s Hidden Eating Disorders

Siebold

2008

Clin Soc Work J

Self Cite

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Shame, the Affective Side of Secrets: Commentary on Barth’s Hidden Eating Disorders

Siebold

2008

Clin Soc Work J

Self Cite

View full text Add to dashboard Cite

show abstract

“…When termination occurs, the therapist's subjectivity inevitably moves to the foreground (Siebold, ), issues of ongoing connection become paramount and patients often express curiosity and interest in the therapist him or herself (Bonovitz, ). It often stimulates the patient's curiosity and motivates attempts to understand the therapist's experience of their relationship.…”

Section: Forced Terminationmentioning

confidence: 99%

The Complexity of Loss During a Forced Termination: A Case Illustration

Doorn¹,

Wooldridge²

2018

Brit J Psychotherapy

View full text Add to dashboard Cite

The end of a therapeutic relationship is experienced in a unique way by each patient and triggers complex feelings relating to early attachment issues, losses and traumas. It is an immense rupture: a process of attachment and separation, intimacy and loss that is an emotionally intense experience for both participants. This case illustration provides insight into the difficulties experienced during the process of forced termination in an analytic community‐training clinic. Following a 2‐year treatment, Peter, a patient who had been severely traumatized in youth, had to tolerate the pain of another loss; having to say goodbye to a therapist. We describe the therapist's initiation and engagement of the termination phase. A series of measurements of patient personality, therapist attachment, and change in alliance and outcomes provide information on the impact of Peter's history and the therapeutic relationship. Clinical illustrations highlight different parts of the decision‐making process in terms of the patient's sensitivity to loss, as well as the therapist's uncertainty around self‐disclosure. We suggest ways therapists may facilitate endings by addressing positive and negative feelings, providing a good‐enough attachment experience, and stimulating an internalization of the therapeutic relationship. Implications for clinical practice, research and supervision are discussed.

show abstract

“…Baum (2007) asserts that an unplanned termination can impede the therapeutic process, resulting in a lack of control or involvement for the participants. Individuals in these situations tend to experience more anger, regression, and narcissistic injury (Siebold, 2007;Zilberstein, 2008).…”

Section: Background and Significancementioning

confidence: 99%

Live Discharge from Hospice and the Grief Experience of Dementia Caregivers

Wladkowski

2016

Journal of Social Work in End-of-Life & Palliative Care

View full text Add to dashboard Cite

When an individual has dementia, family members are involved in many care transitions in their roles as caregivers. One such transition is the 'live' discharge from hospice services. This occurs when an individual no longer meets eligibility criteria. This can be difficult for caregivers who have been anticipating an end to understand in the context of their grief process. This qualitative study (N = 24) explored the experience of caregivers of adults with dementia, including Alzheimer's disease, who experienced a 'live' discharge from hospice. Specifically, the experience of grief is examined. Results from this study highlight the complexity of caring for someone with a terminal disease and the grief experience in end-of-life care as caregivers struggle to understand the individual's terminal prognosis as temporary. This is further complicated for caregivers who must resume caregiving responsibilities or assume a new caregiving role after experiencing a loss of hospice services. Finally, hospice social workers are well positioned to offer emotional and other concrete support to caregivers who experience a 'live' discharge.

show abstract

Everytime we say Goodbye: Forced Termination Revisited, a Commentary

Cited by 12 publications

References 13 publications

Shame, the Affective Side of Secrets: Commentary on Barth’s Hidden Eating Disorders

Shame, the Affective Side of Secrets: Commentary on Barth’s Hidden Eating Disorders

The Complexity of Loss During a Forced Termination: A Case Illustration

Live Discharge from Hospice and the Grief Experience of Dementia Caregivers

Contact Info

Product

Resources

About